Kishlay Anand, M.D.
Individual provider Active NPI Clinical Cardiac Electrophysiology Physician · Peoria, AZ
NPI 1104984491 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1104984491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Cardiac Electrophysiology Physician 207RC0001X
- License
- 43108 (AZ)
- Practice address
- 13943 N 91St Ave Ste A101
Peoria, AZ 85381-3688 - Phone
- (602) 654-1950
- Fax
- (602) 848-4880
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arizona Cardiovascular LLC
Navajo Health Foundation-Sage Memorial Hospital, Inc.
Practice addresses (Care Compare)
13943 N 91St Ave
Suite A101
Peoria, AZ 85381-3688
Phone (602) 654-1950
State Hwy 264 JCT Hwy 191
Ganado, AZ 86505-0457
Phone 92875545004933
Hospital & facility affiliations
- Sage Memorial Hospital
- Verde Valley Medical Center
- Yavapai Regional Medical Center
- Kingman Regional Medical Center
- Flagstaff Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100617000476 | AZ | Practitioner - Internal Medicine | 0840292066 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingman Healthcare, Inc | Internal Medicine | Current |
Accepting new patients |
| Kingman Healthcare, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Aigi Care LLC | Current |
Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital Inc | Current |
Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Cardiac Care Alliance Network of Arizona LLC | Current |
Accepting new patients | |
| Kingman Healthcare, Inc | Current |
Accepting new patients | |
| Exceptional Physicians Group Prescott Hospital PLLC | Current |
Accepting new patients | |
| Arizona Cardiovascular LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Aurora Medical Associates LLC | Current |
Accepting new patients | |
| Mydoctor LLC | Internal Medicine | Past | Accepting new patients |
| 4C Medical Group PLC | Internal Medicine | Past | Accepting new patients |
| Liton RX, Inc. | Past |
Accepting new patients | |
| National Cardiovascular Surgery Center, LLC | Past |
Accepting new patients | |
| Alpine Surgery Center, LLC | Past |
Accepting new patients | |
| Elite Pain and Spine Institute, PLC | Past |
Accepting new patients | |
| Apricus Hospice and Palliative Care LLC | Past |
Accepting new patients | |
| Christopher Stalberg, MD, PLLC | Internal Medicine | Past |
Accepting new patients |
Locations
401 S Calvary Way
Ste A
Cottonwood, AZ 86326
Phone (928) 282-3305
1254 W University Ave
Ste 130
Flagstaff, AZ 86001
Phone (800) 407-1744
1254 W University Ave
Ste 110
Flagstaff, AZ 86001
Phone (602) 654-1950
1750 S Woodlands Village Blvd
Flagstaff, AZ 86001
11851 N 51st Ave
Bldg G
Glendale, AZ 85304
Phone (818) 949-2634
1739 E Beverly Ave
Ste 217
Kingman, AZ 86409
Phone (928) 681-8724
1739 E Beverly Ave
Ste 214
Kingman, AZ 86409
Phone (928) 681-8734
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
13943 N 91st Ave
Ste A101
Peoria, AZ 85381
Phone (480) 900-7373
9191 W Thunderbird Rd
Ste D105
Peoria, AZ 85381
Phone (623) 849-3811
13943 N 91st Ave
Ste A105
Peoria, AZ 85381
Phone (602) 641-9343
15255 N 40th St
Ste 127
Phoenix, AZ 85032
Phone (602) 253-0855
7725 N 43rd Ave
Ste 211
Phoenix, AZ 85051
Phone (623) 207-5464
3165 Stillwater Dr
Prescott, AZ 86305
Phone (602) 654-1950
3124 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 371-4700
3235 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 634-3025
13640 N 99th Ave
Ste 100
Sun City, AZ 85351
Phone (602) 463-4872
Interoperability endpoints
- anand.kishlay@direct.azkrmc.md
- kishlayanand@cvc.allscriptsdirect.net
- https://fhir4.healow.com/fhir/r4/GDJADD/Endpoint/GDJADD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 43108 | AZ | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 43108 | AZ | Yes |
Addresses
Primary practice location
13943 N 91St Ave Ste A101
Peoria, AZ 85381-3688
Mailing address
PO Box 6299
Peoria, AZ 85385-6299
Phone (602) 654-1950
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.