Kalyani S Moola, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

30511 Issued in AZ

Practice address

19829 N 27TH Ave
Phoenix, AZ 85027-4001

Phone

(623) 505-9880

Fax

(623) 505-9880

NPI assigned

Apr 26, 2006

Last updated

Apr 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

HospitalistAlso: Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vituity - Arizona Hospitalists PCGroup PAC ID 5395163745, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Vituity - Arizona Hospitalists PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1770109704

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Vituity - Arizona Hospitalists PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1912629916
  NPD
• Honorhealth

  dba HonorHealth Deer Valley Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1528169125
  NPD (past)

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

• Honorhealth

  dba HonorHealth Deer Valley Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1528169125
  Care Compare affiliation

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1457317448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 W ANTHEM WAY",
            "address_2": "SUITE A109 PMB 313",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860430",
            "telephone_number": "623-505-9880",
            "fax_number": "623-505-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19829 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274001",
            "telephone_number": "623-505-9880",
            "fax_number": "623-505-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOLA",
        "first_name": "KALYANI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "30511",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "30511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "706484-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aijshia N Moody
• Ashley Moody
• Jessica Mae Moody, PHYSICIAN ASSISTANT
• Sierra Morgan Moody
• Vanessa Moody
• Moon Valley Anesthesiologists, LTD
• Moon Valley Dental LLC (Moon Valley Dental Care)
• Moon Valley Medical Center PC
• Moon Valley Pediatrics PC
• Abigail Rose Moon, PA-C

• Hospitalist Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Hospitalist Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.