East Valley Infectious Disease Medicine LLC
NPI 1508643628 · Infectious Disease Physician · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Valley Infectious Disease Medicine LLC is a Infectious Disease Physician organization in Mesa, AZ (NPI 1508643628).
Provider details
- NPI number
- 1508643628
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shashikala Ameneni, Authorized Signer(480) 648-7895
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-12
- Last updated
- 2025-04-23
- Certified
- 2025-04-23
Frequently asked questions
- What is East Valley Infectious Disease Medicine LLC's NPI number?
- East Valley Infectious Disease Medicine LLC's National Provider Identifier (NPI) is 1508643628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Valley Infectious Disease Medicine LLC?
- East Valley Infectious Disease Medicine LLC is classified in the NPPES registry as Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is East Valley Infectious Disease Medicine LLC located?
- East Valley Infectious Disease Medicine LLC's practice location on file with NPPES is 6040 E Main St # 516, Mesa, AZ 85205-8928.
- What is East Valley Infectious Disease Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for East Valley Infectious Disease Medicine LLC is (480) 648-7895.
- Does East Valley Infectious Disease Medicine LLC accept Medicare?
- East Valley Infectious Disease Medicine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Valley Infectious Disease Medicine LLC?
- The authorized official listed on East Valley Infectious Disease Medicine LLC's NPPES record is Shashikala Ameneni, Authorized Signer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Valley Infectious Disease Medicine LLC's NPI active?
- Yes — East Valley Infectious Disease Medicine LLC's NPI (1508643628) is active in the NPPES registry as of the last update on 2025-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.