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SOUMYA NAGARAJA MD
NPI 1316353873
Pediatrics - Pediatric Endocrinology in Mesa, AZ

Active since July 05, 2014PECOS Enrolled
1450S DOBSONRD,, STE B221, MESA, AZ 85202(480) 827-5370 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Soumya Nagaraja Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUMYA NAGARAJA MD (NPI 1316353873) is an individual pediatric endocrinology provider in Mesa, Arizona, licensed in Arizona (59666) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316353873
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameSOUMYA NAGARAJACredential: MD
Location Address1450S DOBSONRD,, STE B221Mesa, AZ 85202-6770
Mailing Address1450 S Dobson Rd Ste B221Mesa, AZ 85202-4745 · (480) 827-5370
Phone(480) 827-5370
Sole ProprietorNo
Enumeration DateJuly 5, 2014
Last NPPES UpdateJune 8, 2020
NPPES CertifiedJune 8, 2020
✔ NPI 1316353873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in AZ · 59666
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1450S DOBSONRD,, Mesa, AZ 85202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soumya Nagaraja Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Soumya Nagaraja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner Physician Super Specialists Arizona LLC
0.5 mi
Nutrition, Education
1450 S DOBSON RD STE B221
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona enrollment
  • 188 clinicians in this Medicare group
NPI 1790337665 (480) 827-5370

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soumya Nagaraja's NPI number?

The NPI number for Soumya Nagaraja is 1316353873. It was assigned to this individual provider in the NPPES registry on July 5, 2014.

Where is Soumya Nagaraja located?

Soumya Nagaraja practices at 1450S Dobsonrd, Ste B221, Mesa, AZ 85202. The listed phone number is (480) 827-5370.

What is Soumya Nagaraja's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Soumya Nagaraja enrolled in Medicare?

Yes. Soumya Nagaraja is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Soumya Nagaraja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soumya Nagaraja reassigns Medicare benefits to Banner Physician Super Specialists Arizona LLC (Mesa, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soumya Nagaraja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soumya Nagaraja accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Soumya Nagaraja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soumya Nagaraja was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.