Active NPI
Jasjeet Kaur, MD
- Endocrinology, Diabetes & Metabolism Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 36320
- Practice address
- 20100 N 51St Ave
Suite F-635
Glendale, AZ 85308-5125 - Phone
- (623) 266-7858
- Fax
- (623) 444-9810
- NPI assigned
- Jul 24, 2006
- Last updated
- Jan 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 002555 | NY | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 36320 | AZ | Primary |
Addresses
Primary practice location
20100 N 51St Ave
Suite F-635
Glendale, AZ 85308-5125
Mailing address
20100 N 51St Ave
Suite F-635
Glendale, AZ 85308-5125
Phone (623) 266-7858
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20100 N 51St Ave
Suite F635
Glendale, AZ 85308-5093
Phone (623) 266-7858
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36320 | AZ | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edlc, LLC | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCCEAA/Endpoint/DCCEAA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endocrinology, Diabetes & Metabolism Physician
- Glendale, AZ
- NPI 1003005893
-
dba Endocrinology, Diabetes and Longevity Center of Arizona, PLC.
- Endocrinology, Diabetes & Metabolism Physician
- Scottsdale, AZ
- NPI 1154804243
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wickenburg Community Hospital
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1417979907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20100 N 51ST AVE",
"address_2": "SUITE F-635",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853085125",
"telephone_number": "623-266-7858",
"fax_number": "623-444-9810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20100 N 51ST AVE",
"address_2": "SUITE F-635",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853085125",
"telephone_number": "623-266-7858",
"fax_number": "623-444-9810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUR",
"first_name": "JASJEET",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "002555",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AZ",
"license": "36320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 11, 2011; 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.