Individual provider Active NPI

Kahroba Jahan, M.D.

  • Cardiovascular Disease Physician
  • Tucson, AZ
National Provider Identifier
1699063206
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
53976 Issued in AZ
Practice address
1501 N Campbell Ave
Room 6336
Tucson, AZ 85724-5040
Phone
(520) 626-2761
NPI assigned
Jul 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X R72770 AZ
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 53976 AZ Primary

Addresses

Primary practice location

1501 N Campbell Ave
Room 6336
Tucson, AZ 85724-5040

Mailing address

445 N Silverbell Rd
201
Tucson, AZ 85745
Phone (520) 396-1370

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
I20170720001050 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3173893344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

445 N Silverbell Rd
Suite 201
Tucson, AZ 85745-2686
Phone (520) 396-1370

Hospital & facility affiliations

  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010

Merit-based Incentive Payment System (MIPS)

Final score
91.18 of 100Reported as individual
Quality
79.83
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53976AZMDCardiovascular Disease Physician
R72770AZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC Single Specialty CurrentSince Jul 31, 2017 Accepting new patients
Carondelet Medical Group, Inc Past Accepting new patients

Locations

1209 W Target Range Rd
Ste 105
Nogales, AZ 85621
Phone (520) 287-4747

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

1209 W Target Range Rd
#105
Nogales, AZ 85621

1707 W Saint Marys Rd
Ste 100
Tucson, AZ 85745

1707 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 396-1370

551 W Magee Rd
Tucson, AZ 85704
Phone (520) 498-6467

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

1707 W Saint Marys Rd
Ste 101
Tucson, AZ 85745
Phone (520) 396-1370

445 N Silverbell Rd
Ste 201
Tucson, AZ 85745
Phone (520) 396-1370

1712 W Anklam Rd
Ste 101
Tucson, AZ 85745
Phone (520) 207-2384

Interoperability endpoints

  • Direct secure messaging: kahroba.jahan.1@600.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 2

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 1

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": "1310774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1699063206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N SILVERBELL RD",
            "address_2": "201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85745",
            "telephone_number": "520-396-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "address_2": "ROOM 6336",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245040",
            "telephone_number": "520-626-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHAN",
        "first_name": "KAHROBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-16",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "R72770",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "53976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.