NPIMap

Individual provider Active NPI

Divya Singh Malladi, MD

  • Nephrology Physician
  • Scottsdale, AZ
National Provider Identifier
1952553398
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
47861 Issued in AZ
Practice address
9746 N 90TH PL Ste 205
Scottsdale, AZ 85258-5085
Phone
(480) 610-6100
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 47861 AZ Primary

Addresses

Primary practice location

9746 N 90TH PL Ste 205
Scottsdale, AZ 85258-5085

Mailing address

2149 E Warner Rd Ste 102
Tempe, AZ 85284-3495
Phone (480) 610-6100

Other identifiers 1

IdentifierTypeStateIssuer
844781MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131023002234 AZ Practitioner - NephrologyPractitioner - Internal Medicine 6406001528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Pittsburgh School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

36889 N Tom Darlington Dr
Suite A4
Carefree, AZ 85377-4605
Phone (480) 610-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47861AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute Scottsdale LLC Nephrology CurrentSince Jan 12, 2014 Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Oct 1, 2013 Accepting new patients
Banner Cancer Center Specialists LLC Past Accepting new patients

Locations

36889 N Tom Darlington Dr
Ste A4
Carefree, AZ 85377
Phone (480) 488-9220

16838 E Palisades Blvd
Bldg C
Fountain Hills, AZ 85268
Phone (480) 816-3131

301 S Power Rd
Ste 103
Mesa, AZ 85206
Phone (480) 325-7535

2610 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-3541

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081

9746 N 90th Pl
Ste 205
Scottsdale, AZ 85258
Phone (480) 610-6152

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

2141 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 969-8714

2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111

905 N Bowie Ave
Willcox, AZ 85643
Phone (520) 326-4811

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2697/brand/1/csg/22/fhir/r4
  • Direct secure messaging: divya.malladi.1@2697.direct.athenahealth.com
  • Direct secure messaging: gehdmalla@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1952553398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843495",
            "telephone_number": "480-610-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9746 N 90TH PL STE 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585085",
            "telephone_number": "480-610-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLADI",
        "first_name": "DIVYA",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "47861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "844781",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.