Active NPI
Khadir F Kakal, MD
- Internal Medicine Physician
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 53365
- Practice address
- 18399 Ventura Blvd Ste 245
Tarzana, CA 91356-6403 - Phone
- (818) 609-7536
- NPI assigned
- May 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 53365 | MN | Primary |
Addresses
Primary practice location
18399 Ventura Blvd Ste 245
Tarzana, CA 91356-6403
Mailing address
1200 Sixth Ave N
Centra Care Clinic
St Cloud, MN 56303-2735
Phone (320) 252-5131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160826001308 | CA | Practitioner - Pulmonary Disease | 0941495717 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7320 Woodlake Ave
Suite 290
West Hills, CA 91307-1490
Phone (747) 236-1666
Hospital & facility affiliations
- UCLA West Valley Medical Center
- Northridge Hospital Medical Center
- Ronald Reagan UCLA Medical Center
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53365 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Taftian DO, Inc | Current | Accepting new patients | |
| Kakal Pulmonary and Critical Care Inc. | Current | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
21820 Craggy View St
Chatsworth, CA 91311
Phone (818) 882-2833
1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900
2123 Verdugo Blvd
Montrose, CA 91020
Phone (818) 249-3925
18040 Sherman Way
Ste 304
Reseda, CA 91335
7320 Woodlake Ave
Ste 290
West Hills, CA 91307
Phone (747) 236-1666
Interoperability endpoints
- https://api.platform.athenahealth.com/19088/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- West Hills, CA
- NPI 1790491850
CA
-
- Multi-Specialty Clinic/Center
- St Joseph, MN
- NPI 1134121759
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
Hospital
-
- General Acute Care Hospital
- West Hills, CA
- NPI 1801653969
Hospital
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1265699185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 SIXTH AVE N",
"address_2": "CENTRA CARE CLINIC",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "563032735",
"telephone_number": "320-252-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18399 VENTURA BLVD STE 245",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566403",
"telephone_number": "818-609-7536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKAL",
"first_name": "KHADIR",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "53365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.