Active NPI
Vanya Jaitly, MD
- Anatomic Pathology & Clinical Pathology Physician
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 63001
- Practice address
- 2109 S 48TH St Ste 102
Tempe, AZ 85282-1018 - Phone
- (602) 685-5211
- Fax
- (602) 685-5325
- NPI assigned
- Jul 29, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology (Pathology) Physician | 207ZH0000X | 63001 | AZ | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 63001 | AZ | Primary |
Addresses
Primary practice location
2109 S 48TH St Ste 102
Tempe, AZ 85282-1018
Mailing address
PO Box 42210
Phoenix, AZ 85080-2210
Phone (623) 266-7770
Other practice location 1
424 S 56th St Ste 120
Phoenix, AZ 85034-2177
Phone (602) 685-5211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
Hospital & facility affiliations
- Uh Cleveland Medical Center
- Uh Regional Hospitals
- Lake Health
- Uh St John Medical Center
- Parma Community General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.52 of 100
- Quality
- 66.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63001 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Arizona LLC | Clinical Pathology | Current | Accepting new patients |
| Clin-Path Pathology | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Specialist of Arizona, LLP | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Sonoran Radiology LTD | Past | Accepting new patients |
Locations
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
424 S 56th St
Ste 110
Phoenix, AZ 85034
Phone (480) 478-8057
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
424 S 56th St
Ste 120
Phoenix, AZ 85034
Phone (480) 478-8059
2109 S 48th St
Ste 102
Tempe, AZ 85282
Phone (602) 424-2889
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Anatomic Pathology & Clinical Pathology
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1922079706
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1174503999
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Willoughby, OH
- NPI 1972689172
-
- General Acute Care Hospital
- Parma, OH
- NPI 1164481677
-
- General Acute Care Hospital
- Chardon, OH
- NPI 1669562864
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
- General Acute Care Hospital
- Westlake, OH
- NPI 1841264868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1821541400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42210",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850802210",
"telephone_number": "623-266-7770",
"fax_number": "623-322-4639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 S 48TH ST STE 102",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821018",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325"
}
],
"practiceLocations": [
{
"address_1": "424 S 56th St Ste 120",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850342177",
"country_code": "US",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAITLY",
"first_name": "VANYA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-29",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "AZ",
"license": "63001",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "63001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.