| NPI | 1114111002 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-09-04 |
| Last Updated | 2026-03-17 |
| Mailing Address | 6101 Blue Lagoon Dr Ste 200 Miami, FL 33126-3168 United States Phone: (305) 500-2000 📍 View Map |
| Primary Practice Address | 14273 W Grand Ave Ste 100 Surprise, AZ 85374-4361 United States Phone: (623) 428-8189 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AZ | 281108 | — |
| Other (non-Medicare) | AZ | P00628928 | Medicare Railroad# |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | AZ | 37252 |
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About NPI 1114111002
Sanjay Saradhi Bommakanti MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114111002. The primary specialty listed is Internal Medicine. The provider is located in Surprise, AZ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-09-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114111002?
NPI 1114111002 belongs to Sanjay Saradhi Bommakanti MD, a Internal Medicine in Surprise, AZ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114111002 active?
The current status of NPI 1114111002 in the NPPES registry is Active. The record was last updated on 2026-03-17.
What specialty is NPI 1114111002?
NPI 1114111002 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114111002?
You can verify NPI 1114111002 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114111002?
The primary practice address on file for NPI 1114111002 is 14273 W Grand Ave Ste 100, Surprise, AZ 85374-4361. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114111002 issued?
NPI 1114111002 was first issued (enumerated) on 2007-09-04. The NPPES record was last updated on 2026-03-17.
Practice Location Map
Sanjay Saradhi Bommakanti is located at 14273 W Grand Ave Ste 100, Surprise, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sanjay Saradhi Bommakanti. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114111002. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 37252 | AZ |