Ahdev Kuppusamy, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

44807 Issued in AZ

Practice address

3370 S Mercy Rd Ste 321
Gilbert, AZ 85297-0414

Phone

(480) 550-9393

Fax

(480) 999-3375

NPI assigned

Apr 13, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain Management

Education

Rutgers New Jersey Medical School, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain Experts of Arizona PCGroup PAC ID 7113359951, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Pain Experts of Arizona PC

  • Interventional Pain Medicine Physician
  • Gilbert, AZ
  • NPI 1659931152

  Anesthesiology

  Medicare reassignment Care Compare group NPD Authorized official
• Pain Experts of Arizona PC

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1972312809

  Anesthesiology

  NPD Authorized official
• Desert Anesthesia PLLC

  • Anesthesiology Physician
  • Scottsdale, AZ
  • NPI 1922476035
  NPD
• Rembrandt Outpatient Surgery Center PLLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1164930731
  NPD
• The Center for Pain and Supportive Care P L L C

  • Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1104009265

  Interventional Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1982994745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 S MERCY RD STE 321",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970414",
            "telephone_number": "480-550-9393",
            "fax_number": "480-999-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 S MERCY RD STE 321",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970414",
            "telephone_number": "480-550-9393",
            "fax_number": "480-999-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPUSAMY",
        "first_name": "AHDEV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "44807",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "44807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phaedra Kunik, SCHOOL COUNSELOR
• Sonia Jacob Kunthara, DDS
• Kelly Jean Kunzler, M.S.
• Jeffrey David Kuppersmith, DC
• Paul Herbert Kuppinger, MSN,FNP-BC
• Jeremy Zane Kurash, PT, DPT
• Jane Kuria
• Joy Kuria
• Margaret Kuria
• Pauline Kuria

• Interventional Pain Medicine Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.