Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mirela Ponduchi, MD

Individual provider Emergency Medicine Physician · NPI 1902059652

Dr. Mirela Ponduchi, MD is an Internal Medicine in Phoenix, Arizona. Qualified in 2000, 26 years ago. Practices with Dvma LLC, a 56-clinician group and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
26
Licensed in
AZ, IL
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone: (602) 249-0212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 42568 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036122646 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036.122646 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125-052075 (IL)

Record details

NPI number1902059652
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 28, 2008
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Dvma Llc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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