Individual provider Active NPI

Rajan Khosla, M.D.

  • Gastroenterology Physician
  • Chandler, AZ
National Provider Identifier
1770583601
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
32972 Issued in AZ
Practice address
950 N McQueen Rd Ste 100
Chandler, AZ 85225-8126
Phone
(480) 542-7000
Fax
(480) 542-7500
NPI assigned
Jul 21, 2005
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 32972 AZ Primary

Addresses

Primary practice location

950 N McQueen Rd Ste 100
Chandler, AZ 85225-8126

Mailing address

11225 N 28TH Dr Ste B210
Phoenix, AZ 85029-5610
Phone (480) 699-2996

Other identifiers 4

IdentifierTypeStateIssuer
Z100580OtherAZMEDICARE PIN
AZ0766700OtherAZBCBS
523440MedicaidAZ
2Z1750OtherAZHEALTHNET

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
I20040723000925 AZ Practitioner - GastroenterologyPractitioner - Internal Medicine 4385624832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Gastrointestinal Associates PLCGroup PAC ID 6901054014, 36 clinicians

Practice addresses (Care Compare)

3930 S Alma School Rd
Suite 5
Chandler, AZ 85248-4510
Phone (480) 542-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy74
Upper gastrointestinal (GI) endoscopy for acid reflux67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Endoscopy Center LLC Gastroenterology Current Accepting new patients
Arizona Gastrointestinal Associates, PLC Gastroenterology CurrentSince Nov 1, 2020 Accepting new patients

Locations

3930 S Alma School Rd
Ste 5
Chandler, AZ 85248
Phone (480) 289-1140

950 N McQueen Rd
Ste 100
Chandler, AZ 85225
Phone (480) 542-7000

2223 E Baseline Rd
Ste B
Gilbert, AZ 85234
Phone (480) 289-5266

3420 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 699-2996

21300 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (520) 423-9699

11225 N 28th Dr
Ste B210
Phoenix, AZ 85029
Phone (480) 699-2996

8761 E Bell Rd
Ste 105
Scottsdale, AZ 85260
Phone (480) 219-6662

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.

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1770583601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE B210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295610",
            "telephone_number": "480-699-2996",
            "fax_number": "480-361-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N MCQUEEN RD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258126",
            "telephone_number": "480-542-7000",
            "fax_number": "480-542-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSLA",
        "first_name": "RAJAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "32972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "Z100580",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0766700",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523440",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Z1750",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.