Organization Active NPI

Zona Spine and Pain, LLC

  • Specialist
  • Goodyear, AZ
National Provider Identifier
1477910263
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
51320 Issued in AZ
Legal business name
ZONA SPINE AND PAIN, LLC
Practice address
740 N Estrella Pkwy Ste 100
Goodyear, AZ 85338-9357
Phone
(623) 321-5079
Fax
(623) 321-5083
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Chandrashekar J. Kalmat, MDNPI 1154522670
Title
Owner
Phone
(623) 321-5079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 51320 AZ Primary

Addresses

Primary practice location

740 N Estrella Pkwy Ste 100
Goodyear, AZ 85338-9357

Mailing address

PO Box 6765
Goodyear, AZ 85338-0630
Phone (623) 321-5079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160309001623 AZ Part B Supplier - Clinic/Group Practice 8325344815 Receives reassigned benefits from 2 practitioners
Practice locations: Goodyear, AZ
O20160708000111 AZ DME Supplier - Physician - Interventional Pain Management 8325344815 Practice locations: Goodyear, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2323331Zona Spine and Pain, LLC740 N Estrella Parkway Ste 100, Goodyear, AZ 85338Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

740 N Estrella Pkwy
Ste 100
Goodyear, AZ 85338
Phone (623) 321-5079

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1477910263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6765",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853380630",
            "telephone_number": "623-321-5079",
            "fax_number": "623-321-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N ESTRELLA PKWY STE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389357",
            "telephone_number": "623-321-5079",
            "fax_number": "623-321-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZONA SPINE AND PAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "KALMAT",
        "authorized_official_first_name": "CHANDRASHEKAR",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-321-5079",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "51320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.