Active NPI
Az Integrated Neuro Spine & Pain LLC
- Neurology Physician
- Sun City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- AZ INTEGRATED NEURO SPINE & PAIN LLC
- Practice address
- 13640 N 99TH Ave Ste 100
Sun City, AZ 85351-0001 - Phone
- (623) 322-5700
- Fax
- (866) 540-1170
- NPI assigned
- Feb 26, 2018
- Last updated
- Oct 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maninder S Kahlon, MD
- Title
- Member
- Phone
- (623) 322-5700
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary | ||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
13640 N 99TH Ave Ste 100
Sun City, AZ 85351-0001
Mailing address
13640 N 99TH Ave Ste 100
Sun City, AZ 85351-0001
Phone (623) 322-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2111784 | Az Integrated Neuro Spine & Pain | Certificate of waiver | Apr 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
6320 W Union Hills Dr
Ste 230
Glendale, AZ 85308
Phone (602) 933-3937
7200 W Bell Rd
Bldg 8
Glendale, AZ 85308
14418 W Meeker Blvd
Ste 100
Sun City West, AZ 85375
Phone (602) 463-4872
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGIDBD
Practitioners & affiliated clinicians
Practitioners 41
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Sun City, AZ
- NPI 1184695165
-
- Neurology Physician
- Tucson, AZ
- NPI 1871114363
-
- Pain Medicine (Anesthesiology) Physician
- Sun City, AZ
- NPI 1568806107
-
- Neurology Physician
- Prescott, AZ
- NPI 1326488768
-
- Clinical Neuropsychologist
- Sun City, AZ
- NPI 1053008482
-
- Neurology Physician
- Phoenix, AZ
- NPI 1447239231
-
- Neurology Physician
- Glendale, AZ
- NPI 1326088428
-
- Clinical Psychologist
- Glendale, AZ
- NPI 1023338423
-
- Interventional Pain Medicine Physician
- Phoenix, AZ
- NPI 1669758983
-
- Neurology Physician
- Sun City, AZ
- NPI 1184917700
-
- Family Nurse Practitioner
- Scottsdale, AZ
- NPI 1700388063
-
- Physician Assistant
- Phoenix, AZ
- NPI 1891314761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571875200000",
"number": "1487155354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13640 N 99TH AVE STE 100",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853510001",
"telephone_number": "623-322-5700",
"fax_number": "866-540-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13640 N 99TH AVE STE 100",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853510001",
"telephone_number": "623-322-5700",
"fax_number": "866-540-1170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZ INTEGRATED NEURO SPINE & PAIN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-26",
"last_updated": "2019-10-24",
"status": "A",
"authorized_official_last_name": "KAHLON",
"authorized_official_first_name": "MANINDER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "623-322-5700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.