Active NPI
Jagadish Balappa Khanagavi, MBBS
- Interventional Cardiology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 35.138653
- Practice address
- 234 Goodman St
Cincinnati, OH 45219-2364 - Phone
- (513) 475-8521
- Fax
- (513) 475-7480
- NPI assigned
- Sep 20, 2010
- Last updated
- Jun 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 1457669897 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 4301114202 | MI | |
| Interventional Cardiology Physician | 207RI0011X | 4301114202 | MI | |
| Interventional Cardiology Physician | 207RI0011X | 35.138653 | OH | Primary |
Addresses
Primary practice location
234 Goodman St
Cincinnati, OH 45219-2364
Mailing address
2830 Victory Pkwy
Cincinnati, OH 45206-1785
Phone (513) 245-3072
Other practice location 1
95 Grasslands Rd
Westchester Medical Center,
Valhalla, NY 10595-1652
Phone (914) 493-8373
Other practice location 2
95 Grasslands Rd
Westchester Medical Center,
Valhalla, NY 10595-1652
Phone (914) 493-8373
Other practice location 3
2122 Health Dr SW Ste 133
Wyoming, MI 49519
Phone (616) 252-5950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12505 Lebanon Rd
Suite 1442
Frisco, TX 75035-8298
Phone (972) 963-3550
1700 FM
544 Suite 200
Lewisville, TX 75056-4915
Phone (469) 800-4250
4001 Worth St
Dallas, TX 75246-1608
4700 Alliance Blvd
Plano, TX 75093-5323
4716 Alliance Blvd
Plano, TX 75093-5325
5236 W University
4900 The Heart Group
McKinney, TX 75071-8185
Phone (469) 800-5350
5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-6950
6000 W Spring Creek Pkwy
220 Baylor Scott and White Cardiovascular Con
Plano, TX 75024-3578
Phone (469) 800-4400
6800 State Hwy 121
McKinney, TX 75070-2905
Phone (469) 800-5680
8000 Warren Pkwy
104 Baylor Scott and White the Heart Group FR
Frisco, TX 75034-2225
Phone (469) 800-6500
821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200
Hospital & facility affiliations
- Baylor Scott & White Medical Center - Centennial
- Baylor Scott & White the Heart Hospital Plano
- Baylor Scott and White Medical Center McKinney
- Baylor Scott and White Medical Center Frisco at PG
- Baylor Scott and White the Heart Hospital Corinth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1457669897 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Cardiovascular Disease | Current | Accepting new patients |
| University of Cincinnati Physicians Company, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Healthtexas Provider Network | Past | Accepting new patients | |
| Thhbp Management Company LLC | Past | Accepting new patients |
Locations
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335
2830 Victory Pkwy
#806
Cincinnati, OH 45206
Phone (513) 245-3694
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777
7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000
301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- jkhanagavi1332751@direct.sw.org
- jkhanagavi325708@direct.uchealth.com
- jkhanagavi76748@direct.metrohealth.net
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Baylor Scott & White the Heart Hospital - Plano | Hospital | General Partnership Interest | Oct 15, 2024 |
| Baylor Scott & White the Heart Hospital - Denton | Hospital | General Partnership Interest | Oct 15, 2024 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Baylor Scott & White the Heart Hospital - Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
General Partnership Interest
-
dba Baylor Scott & White the Heart Hospital - Denton
- General Acute Care Hospital
- Denton, TX
- NPI 1194753590
General Partnership Interest
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
Cardiovascular Disease
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Cardiovascular Disease
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Colleyville, TX
- NPI 1235135906
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
dba Baylor Scott & White The Heart Hospital - Corinth
- General Acute Care Hospital
- Denton, TX
- NPI 1669213831
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frisco, TX
- NPI 1801826839
-
dba Baylor Scott & White Medical Center - McKinney
- General Acute Care Hospital
- McKinney, TX
- NPI 1124305065
-
dba Baylor Scott & White Medical Center - Frisco at PGA Parkway
- General Acute Care Hospital
- Frisco, TX
- NPI 1851108765
-
dba Baylor Scott & White the Heart Hospital - Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
-
dba Baylor Scott & White The Heart Hospital - Corinth
- General Acute Care Hospital
- Denton, TX
- NPI 1669213831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1457669897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 VICTORY PKWY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061785",
"telephone_number": "513-245-3072",
"fax_number": "513-585-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 GOODMAN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192364",
"telephone_number": "513-475-8521",
"fax_number": "513-475-7480"
}
],
"practiceLocations": [
{
"address_1": "95 Grasslands Rd",
"address_2": "Westchester Medical Center,",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "105951652",
"country_code": "US",
"telephone_number": "914-493-8373",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "95 Grasslands Rd",
"address_2": "Westchester Medical Center,",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "105951652",
"country_code": "US",
"telephone_number": "914-493-8373",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2122 Health Dr SW Ste 133",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "MI",
"postal_code": "49519",
"country_code": "US",
"telephone_number": "616-252-5950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHANAGAVI",
"first_name": "JAGADISH",
"middle_name": "BALAPPA",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-20",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "1457669897",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301114202",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MI",
"license": "4301114202",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OH",
"license": "35.138653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.