Active NPI
Kavitha Tirumalasetti Karnik, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 56244
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016 - Phone
- (602) 933-0970
- Fax
- (602) 933-4253
- NPI assigned
- Apr 9, 2012
- Last updated
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 56244 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016
Mailing address
3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1813
Other names 1
- Kavitha Tirumalasetti
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56244 | AZ | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| Phoenix Children's Hospital | Current | Accepting new patients |
Locations
3370 S Mercy Rd
Ste 214
Gilbert, AZ 85297
3420 S Mercy Rd
Ste 121
Gilbert, AZ 85297
Phone (602) 933-2263
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
6990 E Shea Blvd
Ste 104
Scottsdale, AZ 85254
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.
-
dba Phoenix Children's Medical Group
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1770849275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 E CAMELBACK RD STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182327",
"telephone_number": "602-933-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85016",
"telephone_number": "602-933-0970",
"fax_number": "602-933-4253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARNIK",
"first_name": "KAVITHA",
"middle_name": "TIRUMALASETTI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "AZ",
"license": "56244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAVITHA",
"last_name": "TIRUMALASETTI",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 25, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.