Active NPI
Kahroba Jahan, M.D.
- Cardiovascular Disease Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 53976
- 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
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | R72770 | AZ | |
| Cardiovascular Disease Physician | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.18 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 53976 | AZ | MD | Cardiovascular Disease Physician |
| R72770 | AZ | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Physician Group Holdings, LLC | Single Specialty | Current | 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
- kahroba.jahan.1@600.direct.athenahealth.com
- 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.
-
- Interventional Cardiology Physician
- Tucson, AZ
- NPI 1356726939
Single Specialty
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1659326585
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265818488
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.