Kishor D Vachhani, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A49663 Issued in CA

Practice address

81 833 Dr Carreon BVD
Suite 7
Indio, CA 92201-5590

Phone

(760) 775-8889

Fax

(760) 775-6192

NPI assigned

Oct 11, 2006

Last updated

Jun 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: kishor.vachhani.p46@direct.mydohc.nextgenshare.com

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.

• Kishor Vachhani MD Inc

  • Primary Care Clinic/Center
  • Indio, CA
  • NPI 1760074124
  Medicare reassignment NPD Authorized official
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)
• JFK Memorial Hospital, Inc.

  dba John F. Kennedy Memorial Hospital

  • General Acute Care Hospital
  • Indio, CA
  • NPI 1477584993
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1750479168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 833 DR CARREON BVD",
            "address_2": "SUITE 7",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015590",
            "telephone_number": "760-775-8889",
            "fax_number": "760-775-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 833 DR CARREON BVD",
            "address_2": "SUITE 7",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015590",
            "telephone_number": "760-775-8889",
            "fax_number": "760-775-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHHANI",
        "first_name": "KISHOR",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A49663",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A49663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5120131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miguel Uribe, D.D.S.
• Deborah Ann Urquhart, M.A.
• Elisa Urrea, LVN
• Benson I Usiade
• Robert Vaca, D.D.S.
• Natalie Noemi Valadez, PHARM.D.
• Marian Yocelin Valdes Pulido
• Gladys Valdez Rivera, M.D.
• Itzayana Valdez
• Melody Leah Valdivia, RN

• Internal Medicine Physician in Indio, CA
• Providers in Indio, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.

Verify at the official NPI Registry.