Jonathan B. Kao, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

37351 Issued in AZ

Practice address

5620 E Broadway Rd
Mesa, AZ 85206-1438

Phone

(480) 981-6111

Fax

(480) 985-2426

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Ophthalmology

Education

Northwestern University Feinberg Medical School, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Valley Ophthalmology LTDGroup PAC ID 7911986989, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• East Valley Ophthalmology, LTD

  • Ophthalmology Physician
  • Mesa, AZ
  • NPI 1598808636
  Medicare reassignment Care Compare group NPD
• East Valley Outpatient Surgery, LLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1851946875
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1295779684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061438",
            "telephone_number": "480-981-6111",
            "fax_number": "480-985-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061438",
            "telephone_number": "480-981-6111",
            "fax_number": "480-985-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "JONATHAN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2006007890",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "37351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Kanouse, PHARMD
• Roopesh K Kantala, M.D.
• Thomas John Kantaras
• Kelly L. Kantartzis, MD
• Patricia Kao-Hutt, MA, CCC-A
• Jacob Kaopua, DDS
• Sasha Viren Kapadia
• Andrew J. Kaplan, M.D.
• Catherine Craver Kapoor, MD
• Kelly Kapp, OTR-L

• Ophthalmology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.

Verify at the official NPI Registry.