NPIMap

Individual provider Active NPI

Ann M. Khalsa, MD

  • Adult Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1770674764
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
43010 Issued in AZ
Practice address
1144 E McDowell Rd
Suite 300
Phoenix, AZ 85006-2664
Phone
(602) 344-6550
Fax
(602) 344-6551
NPI assigned
Sep 27, 2006
Last updated
Aug 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 43010 AZ Primary

Addresses

Primary practice location

1144 E McDowell Rd
Suite 300
Phoenix, AZ 85006-2664

Mailing address

2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000

Other identifiers 1

IdentifierTypeStateIssuer
523889MedicaidAZ

Other names 1

  • Sadhna K. Khalsa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000746 AZ Practitioner - Family Practice 3779681887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Un of California, Irvine, College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1101 N Central Ave
Suite 204
Phoenix, AZ 85004-1844
Phone (602) 344-6550

2025 W Northern Ave
Phoenix, AZ 85021-5157
Phone (602) 655-6300

33 W Tamarisk St
Phoenix, AZ 85041-2422
Phone (602) 344-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43010AZMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District Current Accepting new patients
Maricopa County Special Health Care District CurrentSince Jul 1, 2010 Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2010 Accepting new patients
Maricopa County Special Health Care District CurrentSince Jul 1, 2010 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2010 Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Usc Family Medicine Inc. Family Medicine Past Accepting new patients
Usc Family Medicine Inc Family Medicine Past Accepting new patients

Locations

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

811 S Hamilton St
Chandler, AZ 85225
Phone (480) 344-6100

5825 E Calle Guadalupe
Guadalupe, AZ 85283
Phone (480) 344-6000

59 S Hibbert
Mesa, AZ 85210
Phone (480) 344-6200

950 E Main St
Mesa, AZ 85203
Phone (602) 655-6200

1101 N Central Ave
Ste 201
Phoenix, AZ 85004
Phone (602) 344-6550

1101 N Central Ave
Ste 204
Phoenix, AZ 85004
Phone (602) 344-6550

1144 E McDowell Rd
Ste 300
Phoenix, AZ 85006
Phone (602) 344-6550

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

4011 N 51st Ave
Phoenix, AZ 85031
Phone (623) 344-6900

Interoperability endpoints

  • Direct secure messaging: akhalsa23321@direct.valleywisehealth.org

Organizations & group practices 10

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 12

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1770674764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 E MCDOWELL RD",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062664",
            "telephone_number": "602-344-6550",
            "fax_number": "602-344-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALSA",
        "first_name": "ANN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AZ",
            "license": "43010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523889",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADHNA",
            "last_name": "KHALSA",
            "middle_name": "K.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.