East Valley Kidney Specialist PLLC Health Care
NPI 1619766789ActiveOrganization· Internal Medicine, Nephrology· Mesa, AZ
Internal Medicine, Nephrology in Mesa, Arizona, registered in NPPES in May 2025. The authorized official on file is Sandeep Mallanagouda Patil, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619766789 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2025 |
| Last updated in NPPES | Jan 13, 2026 |
| Certified by provider | Jan 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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