Kanwaldeep Kaur Virk, M.D.
Individual provider Active NPI Internal Medicine Physician · Bullhead City, AZ
NPI 1124648142 · NPPES record last updated May 1, 2026
Key facts
- NPI
- 1124648142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 70412 (AZ)
- Practice address
- 2500 Canyon Rd # 2
Bullhead City, AZ 86442-8624 - Phone
- (928) 763-9290
- NPI assigned
- Apr 20, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bullhead City Clinic Corp
Paragon Physical Therapy and Rehab LLC
Practice addresses (Care Compare)
2500 Canyon Rd
Bullhead City, AZ 86442-8624
2585 Miracle Mile
Bullhead City, AZ 86442-7522
2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone (928) 763-2273
Hospital & facility affiliations
- Valley View Home Health
- Billet Home Health Inc - Bullhead City
- Family Care Home Health Agency
- Canyon Home Care & Hospice
- River Valley Home Health
- Western Arizona Regional Medical Center
- Valley View Medical Center
- Kingman Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 77.6
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, NV
- 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 |
|---|---|---|---|---|
| I20231117002976 | AZ | Practitioner - Internal Medicine | 7517315229 | Reassigns benefits to 1 organization |
| I20231117003040 | NV | Practitioner - Internal Medicine | 7517315229 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bullhead City Clinic Corp | Current |
Accepting new patients | |
| Bullhead City Clinic Corp | Current |
Accepting new patients |
Locations
2500 Canyon Rd
Bldg B
Bullhead City, AZ 86442
Phone (928) 444-1444
2500 Canyon Rd
Ste B2
Bullhead City, AZ 86442
Phone (928) 763-9290
2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273
1955 S Casino Dr
Ste 118
Laughlin, NV 89029
Phone (702) 299-7203
Interoperability endpoints
- kanwaldeep.virk.1@1575.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24356 | NV | |
| Internal Medicine Physician | 207R00000X | 70412 | AZ | Yes |
Addresses
Primary practice location
2500 Canyon Rd # 2
Bullhead City, AZ 86442-8624
Mailing address
2500 Canyon Rd # 2
Bullhead City, AZ 86442-8624
Phone (928) 763-9290
Other providers in Bullhead City, AZ
- Valley View Physician Practices LLC
- Valley View Physician Practices LLC
- Valley View Physician Practices, LLC
- Vanhorn Healthcare PLLC
- Debbie Lynn Villeneuve
- Vita Bella Hospice LLC
- Thu Thi Phuong Vo
- Donald J Wagner
- Walgreen Co
- Mary C Walker
All providers in Bullhead City, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2026. 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.