Active NPI
Supreet Kaur, M.D.
- Vascular Neurology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 55333
- Practice address
- 2910 N 3Rd Ave # 470
Phoenix, AZ 85013-4434 - Phone
- (602) 406-6262
- Fax
- (602) 406-6261
- NPI assigned
- Jul 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TRN19097 | FL | |
| Neurology Physician | 2084N0400X | ME132536 | FL | |
| Neurology Physician | 2084N0400X | 55333 | AZ | |
| Vascular Neurology Physician | 2084V0102X | 55333 | AZ | Primary |
Addresses
Primary practice location
2910 N 3Rd Ave # 470
Phoenix, AZ 85013-4434
Mailing address
2910 N 3Rd Ave # 470
Phoenix, AZ 85013-4434
Phone (602) 406-6262
Other practice location 1
1600 SW Archer Rd
Room 4102
Gainesville, FL 32610-3003
Phone (352) 265-0239
Other practice location 2
240 W Thomas Rd Ste 400
Phoenix, AZ 85013
Phone (602) 406-6262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- 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
- Neurology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1004 W 32ND St
200 Ascension Texas Spine and Scoliosis
Austin, TX 78705-1006
Phone (512) 324-3580
1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000
1400 N Ih 35
Austin, TX 78701-1926
1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300
1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000
1600 W 38TH St
200 Tri County Practice Association
Austin, TX 78731-6405
Phone (512) 324-3580
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME132536 | FL | MD | Neurology Physician |
| 55333 | AZ | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| St. Joseph'S Outpatient Surgery Center, LLC | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| St. Joseph'S Hospital and Medical Center | Current | Accepting new patients | |
| St Josephs Pathology | Current | Accepting new patients | |
| Winslow Memorial Hospital Inc | Current | Accepting new patients | |
| Sjhmc Physician Services | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017
2910 N 3rd Ave
#470
Phoenix, AZ 85013
Phone (602) 406-6262
2910 N 3rd Ave
Ste 430
Phoenix, AZ 85013
Phone (602) 406-7421
240 W Thomas Rd
Ste 301
Phoenix, AZ 85013
Phone (602) 406-6262
2910 N 3rd Ave
Ste 470
Phoenix, AZ 85013
Phone (602) 406-6262
240 W Thomas Rd
Ste 400
Phoenix, AZ 85013
Phone (602) 406-6262
File 56765
Los Angeles, CA 90074
Organizations & group practices 9
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.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
-
- Clinic/Center
- Bylas, AZ
- NPI 1417330713
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1265407738
-
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
-
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
- NPI 1306843222
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
-
- General Acute Care Hospital
- Austin, TX
- NPI 1093810327
-
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1942640065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 N 3RD AVE # 470",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134434",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 N 3RD AVE # 470",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134434",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261"
}
],
"practiceLocations": [
{
"address_1": "1600 SW Archer Rd",
"address_2": "Room 4102",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103003",
"country_code": "US",
"telephone_number": "352-265-0239",
"fax_number": "352-265-1107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 W Thomas Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "85013",
"country_code": "US",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUR",
"first_name": "SUPREET",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-03",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN19097",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME132536",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "55333",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "AZ",
"license": "55333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.