Individual provider Active NPI

Simrat Kaur, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1568452357
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD424543 Issued in PA
Practice address
18404 N Tatum Blvd
Suite 102
Phoenix, AZ 85032-1510
Phone
(602) 485-7434
Fax
(602) 485-7440
NPI assigned
Oct 24, 2005
Last updated
Oct 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD424543 PA Primary

Addresses

Primary practice location

18404 N Tatum Blvd
Suite 102
Phoenix, AZ 85032-1510

Mailing address

2500 W Utopia Rd
Suite 100
Phoenix, AZ 85027-4171
Phone (623) 434-6200

Other identifiers 1

IdentifierTypeStateIssuer
101206559MedicaidPA

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
I20120203000701 AZ Practitioner - Geriatric MedicinePractitioner - Internal Medicine 1759348576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

18404 N Tatum Blvd
Suite 101
Phoenix, AZ 85032-1511
Phone (602) 992-1900

6220 W Bell Rd
Glendale, AZ 85308-3896

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07564300NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John C Lincoln , LLC Internal Medicine CurrentSince Oct 14, 2013 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Oct 14, 2013 Accepting new patients
Squaw Peak Family Physicians PC Current Accepting new patients
Sacred Heart Healthcare System Internal Medicine Past Accepting new patients
Sacred Heart Healthcare System Internal Medicine Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

5859 W Talavi Blvd
Ste 165
Glendale, AZ 85306
Phone (602) 548-7800

6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

6320 W Union Hills Dr
Ste 2300
Glendale, AZ 85308
Phone (623) 561-9113

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

21681 N 77th Ave
Ste 1405
Peoria, AZ 85382
Phone (623) 312-2265

12235 N Cave Creek Rd
Ste 9
Phoenix, AZ 85022
Phone (602) 992-7700

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

18404 N Tatum Blvd
Ste 100C
Phoenix, AZ 85032

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

18404 N Tatum Blvd
Ste 102
Phoenix, AZ 85032
Phone (602) 485-7421

20330 N Cave Creek Rd
Ste 160
Phoenix, AZ 85024
Phone (602) 730-8443

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

Interoperability endpoints

  • Direct secure messaging: skaur31150@direct.honorhealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1568452357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "623-434-6200",
            "fax_number": "623-434-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18404 N TATUM BLVD",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321510",
            "telephone_number": "602-485-7434",
            "fax_number": "602-485-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "SIMRAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD424543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101206559",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.