Kelvin S Panesar, MD

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

26415 Issued in AZ

Practice address

10250 N 92ND St
308
Scottsdale, AZ 85258-4510

Phone

(480) 892-2260

Fax

(480) 892-2274

NPI assigned

Nov 9, 2005

Sex

Male

Sole proprietor

Yes

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

Merit-based Incentive Payment System (MIPS)

Final score

95.59 of 100Reported as group

Quality

81.55

Promoting interoperability

100

Improvement activities

40

Cost

79.5

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpanesar22190@direct.valleywisehealth.org

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.

• District Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1336472448
  Medicare reassignment NPD
• District Medical Group, Inc

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1144624339
  NPD
• District Medical Group, Inc

  • Gastroenterology Physician
  • Phoenix, AZ
  • NPI 1356674469
  NPD
• District Medical Group, Inc

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1295968162

  Pediatrics

  NPD (past)
• Maricopa County Special Health Care District

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1295154045
  NPD (past)
• Dallas Cystic Fibrosis Center, PA

  • Pediatric Pulmonology Physician
  • Dallas, TX
  • NPI 1457475162
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1942281654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9362",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159362",
            "telephone_number": "480-892-2260",
            "fax_number": "480-892-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 N 92ND ST",
            "address_2": "308",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584510",
            "telephone_number": "480-892-2260",
            "fax_number": "480-892-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANESAR",
        "first_name": "KELVIN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "AZ",
            "license": "26415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429325",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gilbert Pan, MD
• Suhrud Jayadev Panchawagh, MBBS
• Panda Care 1 LLC
• Mira Pandya
• Siddharth Yogen Pandya, MD
• Amy L Pang, R.D.
• Karen Rae Panietz, DDS, MSD
• Christine Paniti, NP
• Rahul Pannala, MD
• Jody M Pannozzo, RD

• Pediatric Pulmonology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatric Pulmonology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.