Individual provider Active NPI

Khushvant Bhola, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Tucson, AZ
National Provider Identifier
1265438220
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
26771 Issued in AZ
Practice address
4745 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone
(602) 273-6770
Fax
(602) 889-0489
NPI assigned
Jun 23, 2005
Last updated
May 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 26771 AZ Primary

Addresses

Primary practice location

4745 E Camp Lowell Dr
Tucson, AZ 85712-1256

Mailing address

6585 N Oracle Rd
Tucson, AZ 85704-5614
Phone (520) 229-2080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khushvant.bhola.1@1576.direct.athenahealth.com

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
I20051017000261 AZ Practitioner - Anesthesiology 4284650581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6585 N Oracle Rd
Tucson, AZ 85704-5614
Phone (520) 229-2080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.33 of 100Reported as group
Quality
0
Improvement activities
40
Cost
74.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Sky Spine & Sports Medicine PC CurrentSince May 22, 2023 Accepting new patients

Locations

2530 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 229-2080

1241 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 229-2080

6460 E Grant Rd
Unit 30608
Tucson, AZ 85751

6585 N Oracle Rd
Tucson, AZ 85704
Phone (520) 229-2080

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7527/brand/1/csg/1/fhir/r4
  • Direct secure messaging: khushvant.bhola.1@7527.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1265438220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045614",
            "telephone_number": "520-229-2080",
            "fax_number": "520-229-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOLA",
        "first_name": "KHUSHVANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "26771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khushvant.bhola.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "6130 N La Cholla Blvd Ste 135A",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857413557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.