Rajiv D Poduval, MD in Phoenix, AZ - Medicare Internal Medicine

Rajiv D Poduval, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Phoenix, Arizona. His current practice location is 337 E Coronado Rd, Suite 201, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 252-8081.

Rajiv D Poduval is licensed to practice in Arizona (license number 30792) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205822749.

Contact Information

	Rajiv D Poduval, MD
	337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580
	(602) 252-8081
	(602) 252-1520

Map and Direction

Physician's Profile

Full Name	Rajiv D Poduval
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	337 E Coronado Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205822749
Provider Enumeration Date: 09/20/2005
Last Update Date: 06/19/2012

Medicare PECOS Information:

PECOS PAC ID: 3072562511
Enrollment ID: I20050121000482

Medical Identifiers

Medical identifiers for Rajiv D Poduval such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205822749	NPI	-	NPPES
762121	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	30792 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rajiv D Poduval allows following entities to bill medicare on his behalf.

Entity Name	Southwest Kidney Institute Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659316008 PECOS PAC ID: 8224930987 Enrollment ID: O20040211001069

Entity Name	Southwest Kidney Institute Scottsdale Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902231012 PECOS PAC ID: 3577798313 Enrollment ID: O20131101000457

Entity Name	Banner - University Super Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740650555 PECOS PAC ID: 1850695255 Enrollment ID: O20160204002443

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rajiv D Poduval is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Rajiv D Poduval, MD 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3494 Ph: (480) 610-6100	Rajiv D Poduval, MD 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 Ph: (602) 252-8081

Reviews and Comments

Internal Medicine Doctors in Phoenix, AZ

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Kristina Yancey, Nephrology Medicare: Medicare Enrolled Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-342-2000
Dr. Francisco Cordova, MD Nephrology Medicare: Medicare Enrolled Practice Location: 29 W Edgemont Ave, Phoenix, AZ 85003 Phone: 602-263-8971 Fax: 602-263-8971

Rajiv D Poduval, MD - Medicare Internal Medicine in Phoenix, AZ