Individual provider Active NPI

Arun K. Kolli, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Mesa, AZ
National Provider Identifier
1609893502
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
36429 Issued in AZ
Practice address
6750 E Baywood Ave # 301
Mesa, AZ 85206-1749
Phone
(480) 835-6100
Fax
(480) 505-5287
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 36429 AZ Primary
Cardiovascular Disease Physician 207RC0000X 36429 AZ

Addresses

Primary practice location

6750 E Baywood Ave # 301
Mesa, AZ 85206-1749

Mailing address

6402 E Superstition Springs Blvd Ste 224
Mesa, AZ 85206-4394
Phone (480) 835-6100

Other identifiers 2

IdentifierTypeStateIssuer
199662MedicaidAZ
P00447794OtherAZRAIL ROAD MEDICARE

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
I20070329000419 AZ Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5496790669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-City Cardiology Consultants PCGroup PAC ID 2062303076, 40 clinicians

Practice addresses (Care Compare)

10440 E Riggs Rd
Suite 250
Sun Lakes, AZ 85248-0048
Phone (480) 835-6100

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 835-6100

1520 S Dobson Rd
Suite 209
Mesa, AZ 85202-4753
Phone (602) 835-6100

333 N Dobson Rd
Suite 11
Chandler, AZ 85224-4412
Phone (480) 835-6100

36543 N Gantzel Rd
Suite 101
San Tan Valley, AZ 85140-7347
Phone (480) 835-6100

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 835-6100

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (480) 835-6100

Hospital & facility affiliations

  • Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40
Cost
76.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Surgical Centers, LLC Current Accepting new patients
Tri-City Cardiology Consultants, PC Cardiovascular Disease CurrentSince May 1, 2007 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Nov 1, 2011 Accepting new patients
Tri-City Cardiology Consultants, PC CurrentSince May 1, 2007 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Nov 1, 2011 Accepting new patients

Locations

1760 E Pecos Rd
Ste 420
Gilbert, AZ 85295

3530 S Val Vista Dr
Ste 103
Gilbert, AZ 85297

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

3530 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 840-9155

1580 N Fiesta Blvd
Ste 100
Gilbert, AZ 85233

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

6750 E Baywood Ave
#301
Mesa, AZ 85206

6750 E Baywood Ave
Ste 301
Mesa, AZ 85206
Phone (480) 834-6100

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

143 S 63rd St
Ste 100
Mesa, AZ 85206
Phone (480) 416-6140

6402 E Superstition Springs Blvd
Ste 224
Mesa, AZ 85206
Phone (480) 470-3442

6402 E Superstition Springs Blvd
Ste 114
Mesa, AZ 85206
Phone (928) 985-1810

1520 S Dobson Rd
Ste 209
Mesa, AZ 85202
Phone (602) 835-6100

36543 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140

8765 E Bell Rd
Ste 110
Scottsdale, AZ 85260

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: arun.kolli.p1@direct.tcc.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1609893502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 E SUPERSTITION SPRINGS BLVD STE 224",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064394",
            "telephone_number": "480-835-6100",
            "fax_number": "480-505-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 E BAYWOOD AVE # 301",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061749",
            "telephone_number": "480-835-6100",
            "fax_number": "480-505-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLI",
        "first_name": "ARUN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "36429",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "36429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199662",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00447794",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.