Individual provider Active NPI

Karishma Ullal, DO

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1801537881
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
011798 Issued in AZ
Practice address
1124 E McKellips Rd Ste 110
Mesa, AZ 85203-2766
Phone
(480) 882-7370
NPI assigned
Apr 5, 2022
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 011798 AZ Primary

Addresses

Primary practice location

1124 E McKellips Rd Ste 110
Mesa, AZ 85203-2766

Mailing address

1681 W Dawn Dr
Tempe, AZ 85284-1213
Phone (928) 812-0360

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
I20251229002490 AZ Practitioner - Family Practice 4486140555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

1124 E McKellips Rd
Suite 110
Mesa, AZ 85203-2766
Phone (855) 485-4673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011798AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Oct 16, 2025 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Oct 16, 2025 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients

Locations

3645 S Rome St
Ste 204
Gilbert, AZ 85297
Phone (480) 534-4520

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

10550 E Desert Hills Dr
Scottsdale, AZ 85262
Phone (480) 265-2140

34525 N Scottsdale Rd
Scottsdale, AZ 85266
Phone (480) 882-7550

Interoperability endpoints

  • Direct secure messaging: kullal454341@direct.honorhealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1801537881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 W DAWN DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841213",
            "telephone_number": "928-812-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E MCKELLIPS RD STE 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032766",
            "telephone_number": "480-882-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLAL",
        "first_name": "KARISHMA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "011798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.