Individual provider Active NPI

Joseph V Klag, DO

  • Interventional Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1730185430
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
3185 Issued in AZ
Practice address
3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032
Phone
(602) 867-8644
Fax
(602) 795-5698
NPI assigned
Jun 27, 2005
Last updated
Oct 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 3185 AZ
Interventional Cardiology Physician 207RI0011X 3185 AZ Primary

Addresses

Primary practice location

3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032

Mailing address

PO Box 98819
Las Vegas, NV 89193
Phone (602) 494-3659

Other identifiers 5

IdentifierTypeStateIssuer
AZ0814020OtherAZBLUE CROSS BLUE SHIELD
25-00208OtherAZUNITED HEALTHCARE
1Z3959OtherAZHEALTHNET
391045MedicaidAZ
060042204OtherAZRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3185AZMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS of Arrowhead Inc Cardiovascular Disease Past Accepting new patients
VHS of Phoenix Inc Cardiovascular Disease Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: josephklag@cvc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1730185430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98819",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89193",
            "telephone_number": "602-494-3659",
            "fax_number": "602-494-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD",
            "address_2": "SUITE 3100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-867-8644",
            "fax_number": "602-795-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAG",
        "first_name": "JOSEPH",
        "middle_name": "V",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "3185",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "3185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0814020",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "25-00208",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z3959",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391045",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060042204",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.