Mukesh Gopalakrishnan, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

53154 Issued in AZ

Practice address

4475 S 1-19 Frontage Rd
Suite 125
Tucson, AZ 85614

Phone

(520) 648-1139

NPI assigned

Jul 3, 2010

Last updated

Jul 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pima Heart Physicians PCGroup PAC ID 6507751294, shared by 2 NPIs, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148
• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
• St. Mary's Hospital Hospital, Tucson, AZ, CCN 030010
• Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

Merit-based Incentive Payment System (MIPS)

Final score

90.17 of 100Reported as group

Quality

83.77

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mukesh.gopalakrishnan@ushv.eclinicaldirectplus.com

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.

• Pima Heart Physicians, PC

  dba Pima Heart & Vascular

  • Cardiovascular Disease Physician
  • Tucson, AZ
  • NPI 1730137480
  Medicare reassignment NPD
• Pima Heart Physicians, PC

  dba Pima Heart & Vascular

  • Cardiac Rehabilitation Registered Nurse
  • Sahuarita, AZ
  • NPI 1962259812
  Medicare reassignment NPD
• Pima Heart Physicians, PC

  dba Pima Heart & Vascular

  • Cardiovascular Disease Physician
  • Sierra Vista, AZ
  • NPI 1003081803
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Hospital LLC

  dba Northwest Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1487607784
  Care Compare affiliation
• Northwest Sahuarita Hospital LLC

  dba Northwest Medical Center Sahuarita

  • General Acute Care Hospital
  • Sahuarita, AZ
  • NPI 1851927669
  Care Compare affiliation
• SMSJ Tucson Holdings LLC

  dba St. Marys Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1265818488
  Care Compare affiliation
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1278115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1326350562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N CAMPBELL AVE STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191563",
            "telephone_number": "520-838-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 S 1-19 FRONTAGE RD",
            "address_2": "SUITE 125",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85614",
            "telephone_number": "520-648-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPALAKRISHNAN",
        "first_name": "MUKESH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-03",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "53154",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.057630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Messer Goorman, OTD
• Scott D Goorman, M.D.
• Debra J Gootter, NP
• Shari Gootter, MA, LPC, CRC
• Geetha Gopalakrishnan, M.D
• Felicia S Goraj
• Jeremy Michael Goral, FNP-C
• Shannon Lauren Goral, RDN, CDCES
• Gordon K. Roediger, D.D.S., Eastside, P.C. (Acacia Family Dental Group)
• Gordon K. Roediger, D.D.S., P.C. (Desert Dental Arts)

• Interventional Cardiology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Interventional Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.