Individual provider Active NPI

Jansy Kolandra, MD

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1922333467
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45264 Issued in AZ
Practice address
7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258-3243
Phone
(480) 214-9720
Fax
(480) 214-9722
NPI assigned
Oct 15, 2009
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R70224 AZ
Internal Medicine Physician 207R00000X 45264 AZ Primary

Addresses

Primary practice location

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258-3243

Mailing address

8328 E. Hartford Dr.
Scottsdale, AZ 85255
Phone (480) 214-9505

Other identifiers 1

IdentifierTypeStateIssuer
634046MedicaidAZ

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
I20111022000086 AZ Practitioner - Internal Medicine 8820261647 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Hospitalist Associates LLCGroup PAC ID 3577961606, 17 clinicians
Arizona Post Acute Care Specialists LLCGroup PAC ID 8527599281, 9 clinicians
Scottsdale Inpatient Specialists PLCGroup PAC ID 4385021526, 35 clinicians

Practice addresses (Care Compare)

255 W Brown Rd
Mesa, AZ 85201-3404
Phone (480) 833-3988

4022 E Presidio St
Mesa, AZ 85215-1113
Phone (480) 985-1093

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
51.63 of 100Reported as group
Quality
43.08
Promoting interoperability
0
Improvement activities
40
Cost
69.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45264AZMDInternal Medicine Physician
R70224AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Hospitalist Associates LLC Internal Medicine CurrentSince Sep 16, 2024 Accepting new patients
Affiliated Hospitalists, PLC Internal Medicine CurrentSince Sep 15, 2021 Accepting new patients
Scottsdale Inpatient Specialists, PLC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Renewcare of Scottsdale, Inc. Past Accepting new patients

Locations

5620 W Thunderbird Rd
Ste E5
Glendale, AZ 85306
Phone (480) 805-8855

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

4022 E Presidio St
Mesa, AZ 85215
Phone (480) 296-7642

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

9225 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 870-1821

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1922333467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8328 E. HARTFORD DR.",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-214-9505",
            "fax_number": "480-214-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD",
            "address_2": "STE D354",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583243",
            "telephone_number": "480-214-9720",
            "fax_number": "480-214-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLANDRA",
        "first_name": "JANSY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R70224",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "45264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "634046",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.