Individual provider Active NPI

Pankaj Chopra, MD

  • Family Medicine Physician
  • Fountain Hills, AZ
National Provider Identifier
1295838282
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41959 Issued in AZ
Practice address
16605 E Palisades Blvd
Ste 150
Fountain Hills, AZ 85268-3716
Phone
(480) 837-4300
Fax
(480) 837-8302
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41959 AZ Primary

Addresses

Primary practice location

16605 E Palisades Blvd
Ste 150
Fountain Hills, AZ 85268-3716

Mailing address

16605 E Palisades Blvd
Ste 150
Fountain Hills, AZ 85268-3716
Phone (480) 837-4300

Other identifiers 2

IdentifierTypeStateIssuer
Z132121OtherAZARIZONA MEDICARE FARGO PART B
440085MedicaidAZ

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
I20090914000344 AZ Practitioner - Family PracticePractitioner - Hospitalist 5597811745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Walk-in Medical ClinicGroup PAC ID 5496975153, 13 clinicians

Practice addresses (Care Compare)

16605 E Palisades Blvd
Suite 150
Fountain Hills, AZ 85268-3717
Phone (480) 837-4300

7609 E Pinnacle Peak Rd
Suite 9
Scottsdale, AZ 85255-3460
Phone (480) 837-4300

Hospital & facility affiliations

  • Dignity Health at Home Home health agency, Chandler, AZ, CCN 037281

Merit-based Incentive Payment System (MIPS)

Final score
90.05 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Walk-in Medical Clinic Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Centennial Medical Group Inc. Hospitalist Past Accepting new patients

Locations

16605 E Palisades Blvd
Ste 150
Fountain Hls, AZ 85268
Phone (480) 837-4300

2721 S San Tan Village Pkwy
Ste 104
Gilbert, AZ 85295
Phone (480) 500-9307

1242 E McKellips Rd
Ste 103
Mesa, AZ 85203
Phone (480) 535-0738

7609 E Pinnacle Peak Rd
Ste 9
Scottsdale, AZ 85255
Phone (480) 267-9111

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1295838282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 E PALISADES BLVD",
            "address_2": "STE 150",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683716",
            "telephone_number": "480-837-4300",
            "fax_number": "480-837-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 E PALISADES BLVD",
            "address_2": "STE 150",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683716",
            "telephone_number": "480-837-4300",
            "fax_number": "480-837-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOPRA",
        "first_name": "PANKAJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "41959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICARE FARGO PART B",
            "identifier": "Z132121",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440085",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

Verify at the official NPI Registry.