Vinay Kwatra, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

3924 Issued in AZ

Practice address

4848 E Cactus Rd
#620
Scottsdale, AZ 85254-4163

Phone

(602) 996-0190

Fax

(602) 996-5516

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Phoenix Children'S Hospital

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1922112044
  Medicare reassignment NPD
• Phoenix Children'S Medical Group

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1487814240
  NPD
• Phoenix Children'S Medical Group

  • Multi-Specialty Clinic/Center
  • Glendale, AZ
  • NPI 1679703441
  NPD
• Phoenix Children'S Hospital, Inc.

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1033453733
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1790739969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 E CACTUS RD",
            "address_2": "#620",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544163",
            "telephone_number": "602-996-0190",
            "fax_number": "602-996-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 E CACTUS RD",
            "address_2": "#620",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544163",
            "telephone_number": "602-996-0190",
            "fax_number": "602-996-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWATRA",
        "first_name": "VINAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "3924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Kuykendall
• Kvderm, PLLC
• Susan Ruth Louise Kwan, LAC
• William Kwan, L.AC.
• Julie Baskin Kwatra, M.D.
• Amanda Hines Kwilosz, PA-C
• Kenneth Kwilosz III, PA
• Kym Family LLC
• Kymco LLC
• San Michael Kyte, PA-C

• Pediatrics Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.

Verify at the official NPI Registry.