DR. VIJAYABHANU MAHADEVAN M.D. NPI 1083727333

NPI Information

  • NPI: 1083727333
  • Provider Name: DR. VIJAYABHANU MAHADEVAN, M.D.
  • Classification: Internal Medicine - 207RR0500X
  • Specialization: Rheumatology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12665 W SMOKEY DR # 140
    #140
    SURPRISE, AZ
    ZIP 85378
  • Phone: (623) 219-4040

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NPI Details

DR. Vijayabhanu Mahadevan, M.D. is a rheumatology internal medicine in Surprise, AZ with 32 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Vijayabhanu Mahadevan, M.D. NPI is 1083727333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12665 W SMOKEY DR # 140
#140
SURPRISE, AZ
ZIP 85378-703
Phone: (623) 219-4040
Fax: (623) 219-4050

The NPI 1083727333 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) (HCPCS:J0717)
  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) (HCPCS:J0129)
  • Injection, romosozumab-aqqg, 1 mg (HCPCS:J3111)
  • Injection, rituximab, 10 mg (HCPCS:J9312)
  • Injection, infliximab, excludes biosimilar, 10 mg (HCPCS:J1745)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96401)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • Administration of chemotherapy into vein, 1 hour or less (HCPCS:96413)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Administration of chemotherapy into vein, each additional hour (HCPCS:96415)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection, zoledronic acid, 1 mg (HCPCS:J3489)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Injection of drug or substance into vein (HCPCS:96374)
  • Injection, methylprednisolone sodium succinate, up to 125 mg (HCPCS:J2930)
  • Injection, diphenhydramine hcl, up to 50 mg (HCPCS:J1200)
  • Injection of additional new drug or substance into vein (HCPCS:96375)
  • Injection, methylprednisolone acetate, 20 mg (HCPCS:J1020)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Injection into tendon or ligament (HCPCS:20550)

The enumeration date for this NPI number is 8/17/2006 and was last updated on 2/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RR0500XInternal MedicineRheumatology0101230340VIRGINIANo
2207RR0500XInternal MedicineRheumatology37475ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1260994MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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