Individual provider Active NPI

Jasbir S Bisla, MD

  • Psychiatry Physician
  • Glendale, AZ
National Provider Identifier
1528058500
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25751 Issued in AZ
Practice address
6677 W Thunderbird Rd Ste I164
Glendale, AZ 85306-3762
Phone
(623) 878-2100
Fax
(623) 776-9419
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25751 AZ Primary

Addresses

Primary practice location

6677 W Thunderbird Rd Ste I164
Glendale, AZ 85306-3762

Mailing address

6677 W Thunderbird Rd Ste I164
Glendale, AZ 85306-3762
Phone (238) 782-1006

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041124000779 AZ Practitioner - Psychiatry 4587629993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Satinder S Purewal MD LLCGroup PAC ID 6507814191, 37 clinicians

Practice addresses (Care Compare)

6677 W Thunderbird Rd BLDG
Suite I164
Glendale, AZ 85306-3762
Phone (623) 878-2100

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
78.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25751AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Satinder S. Purewal, M.D. LLC Psychiatry CurrentSince Jan 1, 2022 Accepting new patients
Satinder S. Purewal, M.D. LLC Psychiatry PastSince Feb 18, 2024 Accepting new patients
Satinder S. Purewal, M.D. LLC Psychiatry PastSince Feb 18, 2024 Accepting new patients

Locations

42104 N Venture Dr
Ste D106
Anthem, AZ 85086
Phone (602) 493-0585

215 S Dobson Rd
Ste 4
Chandler, AZ 85224
Phone (623) 878-2100

6677 W Thunderbird Rd
Ste I164
Glendale, AZ 85306
Phone (623) 878-2100

5720 W Peoria Ave
Ste 101
Glendale, AZ 85302
Phone (623) 878-2100

13945 W Grand Ave
Ste 104
Surprise, AZ 85374
Phone (623) 878-2100

6891 N Oracle Rd
Ste 101
Tucson, AZ 85704
Phone (520) 416-7980

Organizations & group practices 3

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1528058500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE I164",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063762",
            "telephone_number": "238-782-1006",
            "fax_number": "623-776-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE I164",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063762",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISLA",
        "first_name": "JASBIR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "25751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.