Shantha Kumar, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

23951 Issued in AZ

Practice address

99 S Gold Dr
Apache Junction, AZ 85120-5035

Phone

(480) 962-0101

Fax

(480) 962-0202

NPI assigned

Jul 25, 2006

Last updated

Apr 12, 2024By 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

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clear Choice Physicians, LLCGroup PAC ID 0840452645, 3 clinicians

Goldfield Medical Clinics LLCGroup PAC ID 4385631167, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121
• Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

Merit-based Incentive Payment System (MIPS)

Final score

18.21 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

60.71

Merit-based Incentive Payment System (MIPS)

Final score

87.78 of 100Reported as group

Quality

85.71

Improvement activities

40

Cost

78.32

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fhaskumar@yourcarecommunity.org

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.

• Goldfield Medical Clinics, LLC

  dba Goldfield Cardiovascular Institue

  • Cardiovascular Disease Physician
  • Mesa, AZ
  • NPI 1861412686

  Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Clear Choice Physicians, LLC

  • Specialist
  • Mesa, AZ
  • NPI 1780957985
  Medicare reassignment Care Compare group NPD
• Evolution Healthcare Management LLC

  • Primary Care Clinic/Center
  • Mesa, AZ
  • NPI 1770951980
  Medicare reassignment
• Eating for Life, LLC

  • Registered Dietitian
  • Apache Junction, AZ
  • NPI 1841748845
  NPD (past)
• Heart Institute of Northern Arizona LLC

  • Ambulatory Surgical Clinic/Center
  • Kingman, AZ
  • NPI 1013189893
  NPD (past)
• Mohave Primary Care

  • Specialist
  • Kingman, AZ
  • NPI 1700909330
  NPD (past)
• Physician Group of Arizona Inc

  dba Steward Medical Group of Arizona

  • Specialist
  • Phoenix, AZ
  • NPI 1518137520
  NPD (past)
• Sycamore Avenue Medical Center, PLLC

  • Family Nurse Practitioner
  • Kingman, AZ
  • NPI 1245762491
  NPD (past)

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

• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284
  Care Compare affiliation
• Honorhealth

  dba HonorHealth Four Peaks Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1427875061
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Florence, AZ
  • NPI 1497572036
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1861219404
  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1396768958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 S GOLD DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205030",
            "telephone_number": "480-962-0101",
            "fax_number": "480-962-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S GOLD DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205035",
            "telephone_number": "480-962-0101",
            "fax_number": "480-962-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7615 E Baseline Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852092000",
            "country_code": "US",
            "telephone_number": "480-962-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SHANTHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "23951",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "23951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Koenigs-Gapp, PA-C
• Christine Denise Kohl, MS COMM DISORDERS NS
• Steji Koshy
• Victor Kujawski, PHARMD
• Birendra Kumar, MS CCC SLP
• Arianna Kurtz
• Berjana Laforest
• Yin Lai, PHARMD
• Aaron Daniel Lambson, O.D.
• Claire R. Lansing, M.S.W.

• Cardiovascular Disease Physician in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.