Individual provider Active NPI

Kishlay Anand, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Peoria, AZ
National Provider Identifier
1104984491
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
43108 Issued in 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
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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 43108 AZ
Clinical Cardiac Electrophysiology Physician 207RC0001X 43108 AZ Primary

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

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
I20100617000476 AZ Practitioner - Internal Medicine 0840292066 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Cardiovascular LLCGroup PAC ID 7810352879, 3 clinicians
Navajo Health Foundation-Sage Memorial Hospital, Inc.Group PAC ID 2163332347, shared by 3 NPIs, 60 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Cardiovascular LLC Cardiovascular Disease CurrentSince Apr 19, 2023 Accepting new patients
Kingman Healthcare, Inc Cardiovascular Disease Current Accepting new patients
Aigi Care LLC CurrentSince Mar 11, 2024 Accepting new patients
Cardiac Care Alliance Network of Arizona LLC CurrentSince Oct 22, 2023 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Nov 19, 2023 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Nov 19, 2023 Accepting new patients
Kingman Healthcare, Inc Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Aurora Medical Associates LLC CurrentSince Apr 1, 2023 Accepting new patients
Exceptional Physicians Group Prescott Hospital PLLC CurrentSince Feb 5, 2026 Accepting new patients
Kingman Healthcare, Inc CurrentSince Oct 1, 2024 Accepting new patients
Liton RX, Inc. PastSince Jun 23, 2020 Accepting new patients
Apricus Hospice and Palliative Care LLC PastSince Feb 10, 2021 Accepting new patients
National Cardiovascular Surgery Center, LLC PastSince Jul 16, 2021 Accepting new patients
Mydoctor LLC Internal Medicine Past Accepting new patients
Alpine Surgery Center, LLC PastSince Jun 1, 2026 Accepting new patients
4C Medical Group PLC Internal Medicine Past Accepting new patients
Christopher Stalberg, MD, PLLC Internal Medicine PastSince Jan 1, 2021 Accepting new patients
Elite Pain and Spine Institute, PLC PastSince Apr 19, 2023 Accepting new patients

Locations

401 S Calvary Way
Ste A
Cottonwood, AZ 86326
Phone (928) 282-3305

1254 W University Ave
Ste 110
Flagstaff, AZ 86001
Phone (602) 654-1950

1254 W University Ave
Ste 130
Flagstaff, AZ 86001
Phone (800) 407-1744

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 214
Kingman, AZ 86409
Phone (928) 681-8734

1739 E Beverly Ave
Ste 217
Kingman, AZ 86409
Phone (928) 681-8724

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

13943 N 91st Ave
Ste A105
Peoria, AZ 85381
Phone (602) 641-9343

9191 W Thunderbird Rd
Ste D105
Peoria, AZ 85381
Phone (623) 849-3811

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

3124 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 371-4700

3165 Stillwater Dr
Prescott, AZ 86305
Phone (602) 654-1950

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

  • Direct secure messaging: anand.kishlay@direct.azkrmc.md
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDJADD/Endpoint/GDJADD
  • Direct secure messaging: kishlayanand@cvc.allscriptsdirect.net

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 9

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1104984491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6299",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853856299",
            "telephone_number": "602-654-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE A101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813688",
            "telephone_number": "602-654-1950",
            "fax_number": "602-848-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAND",
        "first_name": "KISHLAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "43108",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "43108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.