Individual provider Active NPI

Gordi Khera, MD

  • Cardiovascular Disease Physician
  • Glendale, AZ
National Provider Identifier
1104880996
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20871 Issued in AZ
Practice address
5620 W Thunderbird Rd Ste E4
Glendale, AZ 85306-4651
Phone
(602) 296-7224
Fax
(602) 535-5284
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

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

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
I20040423001046 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1557259553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score
93.02 of 100Reported as individual
Quality
94.55
Promoting interoperability
100
Improvement activities
40
Cost
82.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20871AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khera Cardiology Center PC Cardiovascular Disease CurrentSince Jan 15, 2017 Accepting new patients
VHS of Arrowhead Inc Cardiovascular Disease Past Accepting new patients
VHS Acquisition Subsidiary Number 1 Inc Cardiovascular Disease Past Accepting new patients
Sun Health MRI Center Past Accepting new patients
VHS of Phoenix Inc Cardiovascular Disease Past Accepting new patients

Locations

5620 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 424-0866

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

5620 W Thunderbird Rd
Ste D3
Glendale, AZ 85306
Phone (602) 562-9800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGHAD/Endpoint/BCGHAD
  • Direct secure messaging: gordikhera@cvc.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGHAD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1104880996",
    "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": {
        "last_name": "KHERA",
        "first_name": "GORDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "20871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.