Individual provider Active NPI

Baldish Kaur Khera, FNP-C

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1336777424
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
247837 Issued in AZ
Practice address
13507 N 145TH Dr
Surprise, AZ 85379-6162
Phone
(026) 811-2742
Fax
(202) 335-6336
NPI assigned
Apr 1, 2020
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 247837 AZ Primary

Addresses

Primary practice location

13507 N 145TH Dr
Surprise, AZ 85379-6162

Mailing address

4120 N 108TH Ave
Phoenix, AZ 85037-5773
Phone (623) 925-0636

Other practice location 1

700 N Estrella Pkwy Ste 120
Goodyear, AZ 85338-9271
Phone (623) 925-0636

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210517002516 AZ Practitioner - Nurse Practitioner 9830508183 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Years Family Medicine LLCGroup PAC ID 9739409665, 4 clinicians

Practice addresses (Care Compare)

14960 W Indian School Rd
Suite 340
Goodyear, AZ 85395-7816
Phone (623) 594-3171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Management, Inc. CurrentSince Aug 21, 2023 Accepting new patients
Infusion Management, Inc. CurrentSince Aug 21, 2023 Accepting new patients
Good Years Family Medicine LLC CurrentSince Oct 19, 2022 Accepting new patients
JB Healthcare LLC CurrentSince Feb 14, 2022 Accepting new patients
Batwatch Medical Group, LLC Past Accepting new patients
Travis R. Allen, M.D., PLC PastSince Oct 19, 2022 Accepting new patients
Silver House Healthcare LLC Past Accepting new patients

Locations

10575 W Indian School Rd
Ste E103
Avondale, AZ 85392
Phone (480) 747-0045

14960 W Indian School Rd
Ste 340
Goodyear, AZ 85395
Phone (623) 594-3171

1910 S Stapley Dr
Ste 130
Mesa, AZ 85204

10240 W Indian School Rd
Ste 155
Phoenix, AZ 85037
Phone (623) 385-7900

1661 E Camelback Rd
Ste 270
Phoenix, AZ 85016

135 S State College Blvd
Ste 350
Brea, CA 92821

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAEHCD

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1336777424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 N 108TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375773",
            "telephone_number": "623-925-0636",
            "fax_number": "202-335-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13507 N 145TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796162",
            "telephone_number": "026-811-2742",
            "fax_number": "202-335-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 N Estrella Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853389271",
            "country_code": "US",
            "telephone_number": "623-925-0636",
            "fax_number": "623-925-0637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHERA",
        "first_name": "BALDISH",
        "middle_name": "KAUR",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "247837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.