Active NPI
Dipak Jana, M.D.
- Cardiovascular Disease Physician
- Cottonwood, AZ
National Provider Identifier
1629270731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 13578
- Practice address
- 269 S Candy LN
Cottonwood, AZ 86326-4158 - Phone
- (928) 634-1331
- Fax
- (928) 634-3130
- NPI assigned
- Jun 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 13578 | AZ | Primary |
Addresses
Primary practice location
269 S Candy LN
Cottonwood, AZ 86326-4158
Mailing address
9520 W Palm LN Ste 150a
Phoenix, AZ 85037-4403
Phone (602) 584-5444
Other practice location 1
9520 W Palm Ln Ste 150A
Phoenix, AZ 85037-4403
Phone (602) 584-5444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251091 | Medicaid | AZ | |
| Z234185 | Other | AZ | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13578 | AZ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Health MRI Center | Past | Accepting new patients | |
| Arizona Cardiovascular LLC | Cardiovascular Disease | Past | Accepting new patients |
| Cigna Healthcare of Arizona, Inc. | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- Peoria, AZ
- NPI 1013612506
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1073626404
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Sun City West, AZ
- NPI 1427001379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1629270731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9520 W PALM LN STE 150A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850374403",
"telephone_number": "602-584-5444",
"fax_number": "602-584-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 S CANDY LN",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264158",
"telephone_number": "928-634-1331",
"fax_number": "928-634-3130"
}
],
"practiceLocations": [
{
"address_1": "9520 W Palm Ln Ste 150A",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850374403",
"country_code": "US",
"telephone_number": "602-584-5444",
"fax_number": "602-584-6202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANA",
"first_name": "DIPAK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "13578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251091",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z234185",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.