Individual provider Active NPI

Vineel Kurli, M.D.

  • Vascular & Interventional Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1093954554
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
44794 Issued in AZ
Practice address
10835 N 25TH Ave
Suite 240
Phoenix, AZ 85029-4751
Phone
(602) 246-2584
Fax
(602) 246-9645
NPI assigned
Feb 6, 2009
Last updated
Dec 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 44794 AZ Primary

Addresses

Primary practice location

10835 N 25TH Ave
Suite 240
Phoenix, AZ 85029-4751

Mailing address

10835 N 25TH Ave
Suite 240
Phoenix, AZ 85029-4751
Phone (602) 246-2584

Other identifiers 1

IdentifierTypeStateIssuer
631078MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110907001530 AZ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9032389721 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.52 of 100Reported as group
Quality
66.08
Promoting interoperability
100
Improvement activities
40
Cost
58.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Arizona LLC Diagnostic Radiology CurrentSince Feb 8, 2017 Accepting new patients
District Medical Group, Inc CurrentSince Sep 15, 2017 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Benson Hospital Corporation CurrentSince Apr 15, 2018 Accepting new patients
Benson Hospital Corporation CurrentSince Apr 15, 2018 Accepting new patients
District Medical Group, Inc CurrentSince Sep 15, 2017 Accepting new patients
Mdig of Washington PLLC Diagnostic Radiology PastSince May 26, 2019 Accepting new patients
Comanche County Hospital Authority Southwest Radiology Diagnostic Radiology PastSince Feb 1, 2022 Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2915 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 207-3000

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: gehvkruli@yourcarecommunity.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1093954554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10835 N 25TH AVE",
            "address_2": "SUITE 240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294751",
            "telephone_number": "602-246-2584",
            "fax_number": "602-246-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10835 N 25TH AVE",
            "address_2": "SUITE 240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294751",
            "telephone_number": "602-246-2584",
            "fax_number": "602-246-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURLI",
        "first_name": "VINEEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "44794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631078",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.