Mindy Jan, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

33714 Issued in AZ

Practice address

1645 N Swan Rd
Tucson, AZ 85712-4046

Phone

(520) 327-6265

Fax

(520) 327-9300

NPI assigned

Jul 13, 2005

Reactivated

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nephrology

Education

Medical College of Ohio, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Rita Ranch Dialysis (AKA Tucson East II) Dialysis facility, Tucson, AZ, CCN 032632
• DaVita Swan Dialysis Dialysis facility, Tucson, AZ, CCN 032651
• DaVita Tucson East Dialysis Dialysis facility, Tucson, AZ, CCN 032501
• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
• Copper Queen Community Hospital Hospital, Bisbee, AZ, CCN 031312

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mindy.jan.1@2697.direct.athenahealth.com

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.

• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1659316008
  Medicare reassignment Care Compare group NPD
• Southwest Kidney Institute Scottsdale LLC

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1902231012
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tucson, AZ
  • NPI 1417920034

  Dialysis facility

  Care Compare affiliation Name & address match
• Southwest Kidney Davita Dialysis Partners, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tucson, AZ
  • NPI 1740711993

  Dialysis facility

  Care Compare affiliation Name & address match
• Bisbee Hospital Association

  • Critical Access Hospital
  • Bisbee, AZ
  • NPI 1518968767
  Care Compare affiliation
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1902804974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N. BEVERLY AVE",
            "address_2": "STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122154",
            "telephone_number": "520-327-6265",
            "fax_number": "520-327-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124046",
            "telephone_number": "520-327-6265",
            "fax_number": "520-327-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAN",
        "first_name": "MINDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "33714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "917958",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamison Senior Living Communities, LLC
• Jacqueline Kate Jamison
• Mary Jamison, FNP
• Scott L. Jamison, N.M.D
• Omar Jamjoom, PHARMD
• Rajesh Janardhanan, MD, MRCP, FACC, FASE
• Jane St Pierre
• Amy Kay Janicek, M.D.
• Janin Struminger
• Muhammad Emmad Janjua, MD

• Nephrology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.