Naresh Reddivalla, MD - Medicare Pediatrics in Mesa, AZ

Naresh Reddivalla, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Mesa, Arizona. His current practice location is 1432 S Dobson Rd Ste 107, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 412-4100.

Naresh Reddivalla is licensed to practice in Arizona (license number 53522) 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 1073851150.

Contact Information

Naresh Reddivalla, MD
1432 S Dobson Rd Ste 107,
Mesa, AZ 85202-4769
(480) 412-4100
Not Available



Physician's Profile

Full NameNaresh Reddivalla
GenderMale
SpecialityPediatrics - Pediatric Hematology-oncology
Location1432 S Dobson Rd Ste 107, Mesa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073851150
  • Provider Enumeration Date: 01/23/2013
  • Last Update Date: 10/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8628367711
  • Enrollment ID: I20170718001431

Medical Identifiers

Medical identifiers for Naresh Reddivalla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073851150NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0207XPediatrics - Pediatric Hematology-oncology 53522 (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. Naresh Reddivalla allows following entities to bill medicare on his behalf.
Entity NameBanner -- University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508809427
PECOS PAC ID: 7719899871
Enrollment ID: O20031105000694

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Entity NameBanner Cancer Center Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518253152
PECOS PAC ID: 6103097779
Enrollment ID: O20110913000224

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Entity NameBanner Physician Super Specialists Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841573870
PECOS PAC ID: 7911173794
Enrollment ID: O20111228000353

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› Verified 9 days ago

Entity NameBanner - University Super Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740650555
PECOS PAC ID: 1850695255
Enrollment ID: O20160204002443

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› Verified 9 days ago

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. Naresh Reddivalla 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 AddressPractice Location Address
Naresh Reddivalla, MD
1432 S Dobson Rd,
Mesa, AZ 85202-4768

Ph: (480) 412-4100
Naresh Reddivalla, MD
1432 S Dobson Rd Ste 107,
Mesa, AZ 85202-4769

Ph: (480) 412-4100

News Archive

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› Verified 9 days ago


Pediatrics Doctors in Mesa, AZ

Jyoti S. Lebonheur, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204
Phone: 480-464-8500    
Dr. Eric Gabriel Gonzalez, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 616 E Southern Ave, #103, Mesa, AZ 85204
Phone: 602-569-3999    Fax: 602-569-3887
Pacita Tee Opulencia, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 59 S Hibbert, Mesa, AZ 85210
Phone: 480-344-6226    Fax: 602-344-6201
Dr. Daniel E Miga, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1432 S Dobson Rd Ste 512, Mesa, AZ 85202
Phone: 480-412-6336    Fax: 480-412-8013
Dale W Guthrie, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206
Phone: 480-892-3880    Fax: 480-545-4551
Dr. Leno Mammen Thomas, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1432 S Dobson Rd Ste 506, Mesa, AZ 85202
Phone: 480-412-6430    

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