Individual provider Active NPI

Kambiz Kamrani, M.D., M.S.

  • Surgery Physician
  • Mesa, AZ
National Provider Identifier
1063755973
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
57305 Issued in AZ
Practice address
6553 E Baywood Ave Ste 101
Mesa, AZ 85206-1753
Phone
(480) 543-6750
Fax
(480) 543-5907
NPI assigned
Mar 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 57305 AZ Primary

Addresses

Primary practice location

6553 E Baywood Ave Ste 101
Mesa, AZ 85206-1753

Mailing address

6553 E Baywood Ave Ste 101
Mesa, AZ 85206-1753
Phone (480) 543-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190814002600 AZ Practitioner - General Surgery 0143557058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6553 E Baywood Ave
Suite 101
Mesa, AZ 85206-1753
Phone (480) 543-6750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 1, 2020 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

1828 E Florence Blvd
Ste 110
Casa Grande, AZ 85122
Phone (520) 381-6736

1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600

1435 S Alma School Rd
Ste 107
Chandler, AZ 85286

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

1950 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (480) 557-7474

1300 S Country Club Dr
Ste 3
Mesa, AZ 85210
Phone (480) 827-5500

1917 S Crismon Rd
Mesa, AZ 85209
Phone (480) 610-7100

6553 E Baywood Ave
Ste 101
Mesa, AZ 85206
Phone (480) 543-6750

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

37100 N Gantzel Rd
Ste 107
San Tan Vly, AZ 85140
Phone (480) 394-4480

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

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1063755973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061753",
            "telephone_number": "480-543-6750",
            "fax_number": "480-543-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061753",
            "telephone_number": "480-543-6750",
            "fax_number": "480-543-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMRANI",
        "first_name": "KAMBIZ",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "57305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.