Organization Active NPI

Khera Cardiology Center PC

  • Cardiovascular Disease Physician
  • Glendale, AZ
National Provider Identifier
1073629515
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20871 Issued in AZ
Legal business name
KHERA CARDIOLOGY CENTER PC
Doing business as
Khera Cardiology Center PC
Practice address
5620 W Thunderbird Rd Ste E4
Glendale, AZ 85306-4651
Phone
(602) 296-7224
Fax
(602) 535-5284
NPI assigned
Aug 21, 2006
Last updated
Dec 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Dr. Gordi Khera, MDNPI 1104880996
Title
Owner
Phone
(602) 987-6111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20871 AZ Primary

Addresses

Primary practice location

5620 W Thunderbird Rd Ste E4
Glendale, AZ 85306-4651

Mailing address

5620 W Thunderbird Rd Ste E4
Glendale, AZ 85306-4651
Phone (602) 296-7224

Other names 1

  • Khera Cardiology Center PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000605 AZ Part B Supplier - Clinic/Group Practice 4789572785 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGHAD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1073629515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD STE E4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064651",
            "telephone_number": "602-296-7224",
            "fax_number": "602-535-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD STE E4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064651",
            "telephone_number": "602-296-7224",
            "fax_number": "602-535-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHERA CARDIOLOGY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "KHERA",
        "authorized_official_first_name": "GORDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-987-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "20871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Khera Cardiology Center PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Khera Cardiology Center PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.