NPIMap

Individual provider Active NPI

Deepak Khosla, MD

  • Cardiovascular Disease Physician
  • Redding, CA
National Provider Identifier
1679574701
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A49818 Issued in CA
Practice address
2780 Eureka Way
Redding, CA 96001-0223
Phone
(530) 229-0360
Fax
(530) 229-0856
NPI assigned
Aug 10, 2005
Last updated
Jan 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A49818 CA Primary

Addresses

Primary practice location

2780 Eureka Way
Redding, CA 96001-0223

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040305000068 AZ Practitioner - Cardiovascular Disease (Cardiology) 8820986524 Reassigns benefits to 1 organization
I20210129000836 CA Practitioner - Cardiovascular Disease (Cardiology) 8820986524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

2780 Eureka Way
Redding, CA 96001-0223
Phone (530) 229-0360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49818CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Heart, PLLC CurrentSince Sep 30, 2014 Accepting new patients
Phoenix Heart, PLLC Cardiovascular Disease CurrentSince Sep 30, 2014 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Sep 23, 2020 Accepting new patients
Cardiovascular Consultants LTD Past Accepting new patients
North Phoenix Heart Center Cardiovascular Disease Past Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Catholic Healthcare West Past Accepting new patients
Banner Estrella Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Sun Health MRI Center Past Accepting new patients
VHS of Phoenix Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Honorhealth Past Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Honorhealth Past Accepting new patients
VHS Acquisition Subsidiary Number 1 Inc Cardiovascular Disease Past Accepting new patients

Locations

19251 E Oasis Dr
Black Cyn Cty, AZ 85324
Phone (602) 298-7777

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306
Phone (602) 298-7777

41818 N Venture Dr
Ste 110
Phoenix, AZ 85086
Phone (602) 298-7777

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

2780 Eureka Way
Redding, CA 96001
Phone (530) 229-0360

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

Interoperability endpoints

  • Direct secure messaging: deepak.khoslamd.p1@direct.schc.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1679574701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010223",
            "telephone_number": "530-229-0360",
            "fax_number": "530-229-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSLA",
        "first_name": "DEEPAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A49818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.