Individual provider Active NPI

Jaswinder S Kandola, MD

  • Cardiovascular Disease Physician
  • Pascagoula, MS
National Provider Identifier
1295754372
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12723 Issued in MS
Practice address
4300 Hospital St
Suite103
Pascagoula, MS 39581-5329
Phone
(228) 762-7875
Fax
(228) 762-7876
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 12723 MS Primary

Addresses

Primary practice location

4300 Hospital St
Suite103
Pascagoula, MS 39581-5329

Mailing address

4300 Hospital St
Suite103
Pascagoula, MS 39581-5329
Phone (228) 762-7875

Other identifiers 1

IdentifierTypeStateIssuer
00014934MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040324000378 MS Practitioner - Cardiovascular Disease (Cardiology) 1759272164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.79 of 100Reported as group
Quality
89.96
Promoting interoperability
100
Improvement activities
40
Cost
76.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Center, P.L.L.C Cardiovascular Disease CurrentSince Nov 1, 2006 Accepting new patients

Locations

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

4300 Hospital St
Ste 103
Pascagoula, MS 39581
Phone (228) 762-7875

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1295754372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HOSPITAL ST",
            "address_2": "SUITE103",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815329",
            "telephone_number": "228-762-7875",
            "fax_number": "228-762-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HOSPITAL ST",
            "address_2": "SUITE103",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815329",
            "telephone_number": "228-762-7875",
            "fax_number": "228-762-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDOLA",
        "first_name": "JASWINDER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "12723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00014934",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.