Individual provider Active NPI

Jaskamal P Kahlon, MD

  • Interventional Cardiology Physician
  • Mesa, AZ
National Provider Identifier
1093783953
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
31362 Issued in AZ
Practice address
6750 E Baywood Ave
301
Mesa, AZ 85206-1749
Phone
(480) 835-6100
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 31362 AZ
Interventional Cardiology Physician 207RI0011X 31362 AZ Primary

Addresses

Primary practice location

6750 E Baywood Ave
301
Mesa, AZ 85206-1749

Mailing address

6402 E Superstition Springs Blvd Ste 224
Mesa, AZ 85206-4394
Phone (480) 835-6100

Other identifiers 2

IdentifierTypeStateIssuer
P00022765OtherAZRAIL ROAD MEDICARE
74553MedicaidAZ

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
I20040927000422 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8426027541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-City Cardiology Consultants PCGroup PAC ID 2062303076, 40 clinicians

Practice addresses (Care Compare)

10440 E Riggs Rd
Suite 250
Sun Lakes, AZ 85248-0048
Phone (480) 835-6100

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 835-6100

1520 S Dobson Rd
Suite 209
Mesa, AZ 85202-4753
Phone (602) 835-6100

177 W Cottonwood LN
Suite 7
Casa Grande, AZ 85122-2552
Phone (480) 835-6100

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 835-6100

333 N Dobson Rd
Suite 11
Chandler, AZ 85224-4412
Phone (480) 835-6100

36543 N Gantzel Rd
Suite 101
San Tan Valley, AZ 85140-7347
Phone (480) 835-6100

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 835-6100

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (480) 835-6100

Hospital & facility affiliations

  • Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40
Cost
76.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting77
Varicose vein removal86
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31362AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Cancer Center Specialists LLC CurrentSince Nov 1, 2011 Accepting new patients
Tri-City Cardiology Consultants, PC Cardiovascular Disease CurrentSince Aug 1, 2003 Accepting new patients
Tri-City Surgical Centers, LLC Current Accepting new patients
Tri-City Cardiology Consultants, PC CurrentSince Aug 1, 2003 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Nov 1, 2011 Accepting new patients
48Hrlabs.Com, LLC Past Accepting new patients

Locations

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

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

1760 E Pecos Rd
Ste 420
Gilbert, AZ 85295

3530 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 840-9155

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

1580 N Fiesta Blvd
Ste 100
Gilbert, AZ 85233

6402 E Superstition Springs Blvd
Ste 114
Mesa, AZ 85206
Phone (928) 985-1810

6750 E Baywood Ave
Ste 301
Mesa, AZ 85206
Phone (480) 834-6100

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

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

143 S 63rd St
Ste 100
Mesa, AZ 85206
Phone (480) 416-6140

6750 E Baywood Ave
Ste 506
Mesa, AZ 85206
Phone (408) 668-5000

6750 E Baywood Ave
#301
Mesa, AZ 85206

6402 E Superstition Springs Blvd
Ste 224
Mesa, AZ 85206
Phone (480) 470-3442

143 S 63rd St
Mesa, AZ 85206
Phone (480) 993-1000

1520 S Dobson Rd
Ste 209
Mesa, AZ 85202
Phone (602) 835-6100

36543 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140

8765 E Bell Rd
Ste 110
Scottsdale, AZ 85260

Interoperability endpoints

  • Direct secure messaging: jaskamal.kahlon.p1@direct.tcc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1093783953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 E SUPERSTITION SPRINGS BLVD STE 224",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064394",
            "telephone_number": "480-835-6100",
            "fax_number": "480-461-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 E BAYWOOD AVE",
            "address_2": "301",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061749",
            "telephone_number": "480-835-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLON",
        "first_name": "JASKAMAL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "31362",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "31362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00022765",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74553",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.