Individual provider Active NPI

Andrew Peter Philip Kinahan, MD

  • Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1780247544
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
74996 Issued in AZ
Practice address
3477 S Mercy Rd Ste 208
Gilbert, AZ 85297-0448
Phone
(480) 728-6880
Fax
(480) 728-6281
NPI assigned
Apr 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 74996 AZ Primary

Addresses

Primary practice location

3477 S Mercy Rd Ste 208
Gilbert, AZ 85297-0448

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

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
I20241014002920 AZ Practitioner - General Surgery 6406388560 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

3420 S Mercy Rd
200 DHMG Specialty Medicine Mercy Gilbert
Gilbert, AZ 85297-0424
Phone (480) 909-3788

Hospital & facility affiliations

  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74996AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chandler Regional Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Sjhmc Physician Services CurrentSince Nov 1, 2024 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

3477 S Mercy Rd
Ste 208
Gilbert, AZ 85297
Phone (480) 728-4700

3420 S Mercy Rd
Ste 200
Gilbert, AZ 85297
Phone (480) 909-3788

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

File 56765
Los Angeles, CA 90074

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1780247544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 S MERCY RD STE 208",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970448",
            "telephone_number": "480-728-6880",
            "fax_number": "480-728-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINAHAN",
        "first_name": "ANDREW",
        "middle_name": "PETER PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "74996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.