Individual provider Active NPI

Girish Jagdish Karamchandani, DO

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1457781718
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
008566 Issued in AZ
Practice address
4821 N Stone Ave
Tucson, AZ 85704-5727
Phone
(520) 314-3300
Fax
(520) 293-1597
NPI assigned
Nov 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036141511 IL
Internal Medicine Physician 207R00000X 036141511 IL
Internal Medicine Physician 207R00000X 008566 AZ Primary

Addresses

Primary practice location

4821 N Stone Ave
Tucson, AZ 85704-5727

Mailing address

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329

Other practice location 1

6200 N La Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 469-8447

Other practice location 2

2100 Pfingsten Rd Ste 3001A
Glenview, IL 60026-1301
Phone (847) 657-5840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036141511ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Chicago Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1457781718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 N STONE AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045727",
            "telephone_number": "520-314-3300",
            "fax_number": "520-293-1597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 N La Cholla Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413529",
            "country_code": "US",
            "telephone_number": "520-469-8447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Pfingsten Rd Ste 3001A",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600261301",
            "country_code": "US",
            "telephone_number": "847-657-5840",
            "fax_number": "847-657-5732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARAMCHANDANI",
        "first_name": "GIRISH",
        "middle_name": "JAGDISH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036141511",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036141511",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "008566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.