Individual provider Active NPI

Sanjeev Khurana, MD

  • Pediatric Gastroenterology Physician
  • Glendale, AZ
National Provider Identifier
1386606200
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
35045 Issued in AZ
Practice address
20100 N 51St Ave Ste B220
Glendale, AZ 85308-5145
Phone
(623) 825-5200
Fax
(623) 825-5201
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 35045 AZ Primary

Addresses

Primary practice location

20100 N 51St Ave Ste B220
Glendale, AZ 85308-5145

Mailing address

20100 N 51St Ave Ste B220
Glendale, AZ 85308-5145
Phone (623) 825-5200

Other identifiers 1

IdentifierTypeStateIssuer
162076MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frontoffice@apgastro.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Gastrointestinal Care Pediatric Gastroenterology Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sanjeev.khurana.p1@direct.apgvmed.nextgenshare.com

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1386606200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE STE B220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085145",
            "telephone_number": "623-825-5200",
            "fax_number": "623-825-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE STE B220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085145",
            "telephone_number": "623-825-5200",
            "fax_number": "623-825-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURANA",
        "first_name": "SANJEEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "AZ",
            "license": "35045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162076",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontoffice@apgastro.com",
            "affiliation": "N",
            "address_1": "20100 N 51st Ave Ste B220",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853085145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.