REVATI MUMMANENI MD PLLC (NPI# 1598128126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598128126 |
| Entity Type | Organization |
| Organization Name | REVATI MUMMANENI MD PLLC |
| Practice Address |
6895 E Camelback Rd Unit 6011 Scottsdale AZ 85251-2461 |
| Practice Telephone | 2483904503 |
| Mailing Telephone | 2483904503 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | DR. REVATI MUMMANENI (CEO) |
| Authorized Official Telephone | 2483904503 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 50905 | AZ | Nursing & Custodial Care Facilities |
| Street Address |
6895 E CAMELBACK RD UNIT 6011 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85251-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627179 | Elena Andrea Flores | Social Worker | 4253 N Craftsman Ct Ste 11, Scottsdale, AZ 85251 | 2020-10-21 |
| 1235785312 | Live Breathe Nutrition | Dietitian, Registered | 3295 N Drinkwater Blvd Suite 3, Scottsdale, AZ 85251 | 2019-08-14 |
| 1316505977 | Scottsdale Pulmonary and Critical Care, LLC | Internal Medicine | 7301 E. 2nd St., Suite 315, Scottsdale, AZ 85251 | 2019-05-30 |
| 1144887449 | Suzanne Berndt | Counselor | 7530 E Angus Drive, Scottsdale, AZ 85251 | 2019-05-22 |
| 1699243071 | Surgical Neuromonitoring Solutions, LLC | Psychiatry & Neurology | 6926 North Hayden Road C4-461, Scottsdale, AZ 85251 | 2018-11-05 |
| 1295202828 | Neuromonitoring Surgical Services, LLC | Psychiatry & Neurology | 13370 North Hayden Road #133-269, Scottsdale, AZ 85251 | 2018-11-01 |
| 1275048316 | Valley of The Sun Institute for Pain Management, Pllc | Physical Medicine & Rehabilitation | 4900 N Scottsdale Rd, Scottsdale, AZ 85251 | 2017-12-12 |
| 1972022093 | Wound Management Solutions LLC | Surgery | 6900 E Camelback Road, Suite 900, Scottsdale, AZ 85251 | 2017-09-11 |
| 1043749872 | Bradley Holman Glenn | Family Medicine | 7301 E 2nd St., Ste. 210, Heuser Family Medicine Center, Scottsdale, AZ 85251 | 2017-06-06 |
| 1366988750 | Arika Cozzi | Specialist/Technologist | 8145 E Camelback Rd, Apt. #142, Scottsdale, AZ 85251 | 2017-01-10 |
| Find all providers in zip 85251 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150100 | Independence Rehab | Skilled Nursing Facility | 2620 N 68th St, Scottsdale, AZ 85257-1202 | 2015-12-10 |
| 1003232497 | The Pointe Healthcare | Skilled Nursing Facility | 14650 N 78th Way, Bldg B, Scottsdale, AZ 85260-3201 | 2014-03-10 |
| 1811278344 | Scottsdale Op Co LLC | Skilled Nursing Facility | 17490 N 93rd St, Scottsdale, AZ 85255-6323 | 2011-08-29 |
| 1093019770 | Cc Pdr Silverstone L L C | Skilled Nursing Facility | 22605 N 74th St, Scottsdale, AZ 85255-7466 | 2011-01-10 |
| 1366594632 | Ahc of Scottsdale, LLC | Skilled Nursing Facility | 9846 N. 95th Street, Scottsdale, AZ 85258 | 2007-01-17 |
| 1235177874 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 3339 N Drinkwater Blvd, Scottsdale, AZ 85251-6452 | 2006-06-04 |
| 1326023631 | Monterey Care, Inc. | Skilled Nursing Facility | 3293 N Drinkwater Blvd, Scottsdale, AZ 85251-6405 | 2005-12-08 |
| 1669467098 | Westminster Village Inc | Skilled Nursing Facility | 12000 N 90th Street, Scottsdale, AZ 85260 | 2005-09-12 |
| 1336133370 | Avalon Care Center - Scottsdale, LLC | Skilled Nursing Facility | 11150 N 92nd St, Scottsdale, AZ 85260-6150 | 2005-09-06 |
| 1063410652 | Plaza Healthcare Inc | Skilled Nursing Facility | 1475 N Granite Reef Road, Scottsdale, AZ 85257 | 2005-07-08 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85251 |
Please comment or provide details below to improve the information on REVATI MUMMANENI MD PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.