Individual provider Active NPI

Charan Teja Reddy Yerasi, MD

  • Cardiovascular Disease Physician
  • Sun City, AZ
National Provider Identifier
1992146476
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
62611 Issued in AZ
Practice address
10503 W Thunderbird Blvd Ste 103
Sun City, AZ 85351-3047
Phone
(623) 974-3649
Fax
(623) 974-3649
NPI assigned
Jul 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X 62611 AZ
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 62611 AZ Primary

Addresses

Primary practice location

10503 W Thunderbird Blvd Ste 103
Sun City, AZ 85351-3047

Mailing address

10503 W Thunderbird Blvd Ste 103
Sun City, AZ 85351-3047
Phone (623) 974-3649

Other identifiers 1

IdentifierTypeStateIssuer
62611OtherAZARIZONA MEDICAL BOARD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210603002334 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2264831759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kumar Ravi MD Facc PCGroup PAC ID 1355387663, 6 clinicians

Practice addresses (Care Compare)

14418 W Meeker Blvd
Sun City, AZ 85375-5283
Phone (623) 974-3649

16390 N 59TH Ave
Glendale, AZ 85306-1711
Phone (623) 974-3649

Hospital & facility affiliations

  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Merit-based Incentive Payment System (MIPS)

Final score
90.06 of 100Reported as group
Quality
80.17
Promoting interoperability
100
Improvement activities
40
Cost
80.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62611AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kumar Ravi MD Facc PC Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients
Kumar Ravi MD Facc PC Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients
Arizona Heart Specialists PLLC Multi-Specialty Past Accepting new patients

Locations

10503 W Thunderbird Blvd
Ste 103
Sun City, AZ 85351
Phone (623) 547-7654

10503 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 832-5349

10503 W Thunderbird Blvd
Ste 113
Sun City, AZ 85351
Phone (623) 583-6420

13041 N Del Webb Blvd
Ste 130
Sun City, AZ 85351

15405 N 99th Ave
Ste A
Sun City, AZ 85351
Phone (623) 584-5626

14418 W Meeker Blvd
#B105
Sun City West, AZ 85375

18715 N Reems Rd
Ste 140
Surprise, AZ 85374
Phone (623) 310-2626

1175 W Wickenburg Way
Wickenburg, AZ 85390
Phone (480) 266-9293

Interoperability endpoints

  • Direct secure messaging: charan.yerasi.1@25130.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1992146476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD STE 103",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513047",
            "telephone_number": "623-974-3649",
            "fax_number": "623-974-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD STE 103",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513047",
            "telephone_number": "623-974-3649",
            "fax_number": "623-974-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERASI",
        "first_name": "CHARAN",
        "middle_name": "TEJA REDDY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "62611",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "62611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "62611",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.