Organization Active NPI

Westside Internal Medicine PC

  • Internal Medicine Physician
  • Surprise, AZ
National Provider Identifier
1760686356
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WESTSIDE INTERNAL MEDICINE PC
Practice address
13921 W Grand Ave
Ste 502
Surprise, AZ 85374-2439
Phone
(623) 214-2200
Fax
(623) 214-2208
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Ramit Kahlon, MDNPI 1841267614
Title
President
Phone
(623) 214-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

13921 W Grand Ave
Ste 502
Surprise, AZ 85374-2439

Mailing address

13921 W Grand Ave
Ste 502
Surprise, AZ 85374-2439
Phone (623) 214-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040720000971 AZ Part B Supplier - Clinic/Group Practice 4486634680 Receives reassigned benefits from 4 practitioners
Practice locations: Sun City, AZ; Surprise, AZ

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

14420 W Meeker Blvd
Ste 207
Sun City West, AZ 85375
Phone (623) 214-2200

13921 W Grand Ave
Ste 502
Surprise, AZ 85374
Phone (623) 214-2200

14800 W Mountain View Blvd
Surprise, AZ 85374
Phone (480) 757-9758

13060 W Bell Rd
Surprise, AZ 85378
Phone (623) 499-9100

14800 W Mountain View Blvd
Ste 180
Surprise, AZ 85374
Phone (623) 214-2200

13921 W Grand Ave
Ste 501502
Surprise, AZ 85374

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1760686356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13921 W GRAND AVE",
            "address_2": "STE 502",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742439",
            "telephone_number": "623-214-2200",
            "fax_number": "623-214-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13921 W GRAND AVE",
            "address_2": "STE 502",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742439",
            "telephone_number": "623-214-2200",
            "fax_number": "623-214-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "KAHLON",
        "authorized_official_first_name": "RAMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-214-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.