Active NPI
Arun K. Kolli, M.D.
- Clinical Cardiac Electrophysiology Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 36429
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199662 | Medicaid | AZ | |
| P00447794 | Other | AZ | RAIL 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Banner Baywood Medical Center
- Banner Desert Medical Center
- Chandler Regional Medical Center
- Mercy Gilbert Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.24 of 100
- Quality
- 74.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.03
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 89 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-City Surgical Centers, LLC | Current | Accepting new patients | |
| Tri-City Cardiology Consultants, PC | Cardiovascular Disease | Current | Accepting new patients |
| Banner Cancer Center Specialists LLC | Current | Accepting new patients | |
| Tri-City Cardiology Consultants, PC | Current | Accepting new patients | |
| Banner Cancer Center Specialists LLC | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Cardiovascular Disease Physician
- Mesa, AZ
- NPI 1144288416
-
- Oncology Clinic/Center
- Phoenix, AZ
- NPI 1518253152
-
- Oncology Clinic/Center
- Payson, AZ
- NPI 1588158448
-
- Cardiac Rehabilitation Registered Nurse
- Mesa, AZ
- NPI 1689417636
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1083382154
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
- Special Hospital
- Mesa, AZ
- NPI 1215961248
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.