NPIMap

Individual provider Active NPI

Vimalkumar Veerappan Kandasamy, MD,

  • Interventional Cardiology Physician
  • Peoria, AZ
National Provider Identifier
1447514898
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
58133 Issued in AZ
Practice address
13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4246
Phone
(623) 876-8816
Fax
(623) 298-0168
NPI assigned
Jun 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6827 NE
Cardiovascular Disease Physician 207RC0000X 58133 AZ
Interventional Cardiology Physician 207RI0011X 58133 AZ Primary

Addresses

Primary practice location

13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4246

Mailing address

13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4246
Phone (623) 876-8816

Other identifiers 1

IdentifierTypeStateIssuer
529478MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190606002892 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6002149051 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kumar Ravi MD Facc PCGroup PAC ID 1355387663, 6 clinicians
Joseph a Caplan MD PCGroup PAC ID 5890687842, 30 clinicians

Practice addresses (Care Compare)

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (402) 880-3736

10503 W Thunderbird Blvd
Suite 103
Sun City, AZ 85351-3047
Phone (623) 974-3649

13460 N 94TH Dr
Suite J1
Peoria, AZ 85381-4246
Phone (623) 876-8816

14420 W Meeker Blvd
Suite 305
Sun City West, AZ 85375-5289
Phone (623) 876-8816

14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (402) 880-3736

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (402) 880-3736

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.06 of 100Reported as group
Quality
80.17
Promoting interoperability
100
Improvement activities
40
Cost
80.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting29
Pacemaker insertion or repair13
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6827NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kumar Ravi MD Facc PC CurrentSince Jul 1, 2019 Accepting new patients
Arizona Cardiac Specialists PLLC Interventional Cardiology CurrentSince Aug 15, 2025 Accepting new patients
Kumar Ravi MD Facc PC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Joseph a Caplan MD PC Cardiovascular Disease CurrentSince Jul 2, 2025 Accepting new patients

Locations

5651 W Talavi Blvd
Ste 160
Glendale, AZ 85306

13460 N 94th Dr
Ste J1
Peoria, AZ 85381

13460 N 94th Dr
Peoria, AZ 85381
Phone (623) 223-1036

9520 W Palm Ln
Ste 150
Phoenix, AZ 85037
Phone (602) 584-5444

10503 W Thunderbird Blvd
Ste 103
Sun City, AZ 85351
Phone (623) 547-7654

10503 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 832-5349

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14418 W Meeker Blvd
#B105
Sun City West, AZ 85375

14420 W Meeker Blvd
Ste 305
Sun City West, AZ 85375
Phone (480) 772-9049

14300 W Granite Valley Dr
Ste B5
Sun City West, AZ 85375
Phone (623) 546-4930

12361 W Bola Dr
Ste 112
Surprise, AZ 85378
Phone (602) 698-7325

18715 N Reems Rd
Ste 140
Surprise, AZ 85374
Phone (623) 310-2626

1175 W Wickenburg Way
Wickenburg, AZ 85390
Phone (480) 266-9293

Organizations & group practices 4

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1341014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1447514898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE J1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814246",
            "telephone_number": "623-876-8816",
            "fax_number": "623-298-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE J1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814246",
            "telephone_number": "623-876-8816",
            "fax_number": "623-298-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERAPPAN KANDASAMY",
        "first_name": "VIMALKUMAR",
        "name_prefix": "Dr.",
        "credential": "MD,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-30",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "6827",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "58133",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "58133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529478",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.