Individual provider Active NPI

Ankaj Khosla, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1033485859
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A146782 Issued in CA
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone
(314) 753-9461
NPI assigned
Mar 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A146782 CA Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Mailing address

890 W Stetson Ave Ste B
Hemet, CA 92543-7311
Phone (951) 537-6002

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180914002716 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic RadiologyPractitioner - Other (Physician) 6608127527 Reassigns benefits to 6 organizations
I20230606002712 AZ Practitioner - Diagnostic Radiology 6608127527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Mayo Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Practice addresses (Care Compare)

15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100

2125 Citracado Pkwy
Escondido, CA 92029-4159

2202 Azurite PL
Carlsbad, CA 92009-1710
Phone (832) 915-2534

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A146782CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Jul 29, 2023 Accepting new patients
Arch Health Partners, Inc Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Arch Health Partners CurrentSince Aug 1, 2024 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Jan 20, 2026 Accepting new patients
Maryville Imaging, LLC CurrentSince Apr 16, 2026 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Banner Imaging Services LLC CurrentSince May 30, 2023 Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince May 30, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 21, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 21, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 20, 2026 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Maryville Imaging, LLC CurrentSince Apr 16, 2026 Accepting new patients
Banner Imaging Services LLC CurrentSince Oct 6, 2025 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Sep 18, 2023 Accepting new patients
Page Hospital Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients
San Diego Diagnostic Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 32)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1125 S Alma School Rd
Ste 110
Chandler, AZ 85286

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165

4200 E Camelback Rd
Ste 105
Phoenix, AZ 85018

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

7400 N Dobson Rd
Ste 102
Scottsdale, AZ 85256

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

3601 S 6th Ave
Tucson, AZ 85723

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

555 E Valley Pkwy
Escondido, CA 92025
Phone (760) 739-3000

Interoperability endpoints

  • Direct secure messaging: ankaj.khosla.p1@direct.arch.nextgenshare.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1033485859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W STETSON AVE STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437311",
            "telephone_number": "951-537-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "314-753-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSLA",
        "first_name": "ANKAJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A146782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.