Individual provider Active NPI

Karim N. Jamal, M.D.

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1982759221
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
41066 Issued in AZ
Practice address
1101 E Missouri Ave
Phoenix, AZ 85014-2709
Phone
(602) 222-2221
Fax
(602) 266-2044
NPI assigned
Jan 25, 2007
Last updated
May 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X M7299 TX
Retina Specialist (Ophthalmology) Physician 207WX0107X 41066 AZ
Ophthalmology Physician 207W00000X 41066 AZ Primary

Addresses

Primary practice location

1101 E Missouri Ave
Phoenix, AZ 85014-2709

Mailing address

PO Box 32530
Phoenix, AZ 85064-2530
Phone (602) 222-2221

Other practice location 1

560 N Camino Mercado Ste 1
Casa Grande, AZ 85122-5759
Phone (520) 426-9224

Other identifiers 8

IdentifierTypeStateIssuer
185887003MedicaidTX
417109MedicaidAZ
84431261MedicaidNM
185887001MedicaidTX
185887002MedicaidTX
135343512MedicaidTX
185887004MedicaidTX
135343513MedicaidTX

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
I20090806000756 AZ Practitioner - Ophthalmology 5799886867 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retinal Consultants of Arizona LTDGroup PAC ID 4688560204, 8 clinicians

Practice addresses (Care Compare)

1101 E Missouri Ave
Phoenix, AZ 85014-2709
Phone (800) 640-6442

Merit-based Incentive Payment System (MIPS)

Final score
94.13 of 100Reported as group
Quality
89.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41066AZMDOphthalmology Physician
M7299TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD Ophthalmology Current Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Feb 1, 2020 Accepting new patients
Southwestern Eye Center LTD CurrentSince Feb 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Current Accepting new patients
Southwestern Eye Center, LTD CurrentSince Feb 1, 2020 Accepting new patients
Retinal Consultants of Arizona LTD Ophthalmology CurrentSince Jul 6, 2009 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology CurrentSince Feb 1, 2020 Accepting new patients
Eyenet Triage, PLC Ophthalmology Past Accepting new patients

Locations

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

3940 S Alma School Rd
Ste A2
Chandler, AZ 85248
Phone (480) 786-6086

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

1712 E Boston St
Gilbert, AZ 85295

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

2152 S Vineyard
Ste 139
Mesa, AZ 85210

220 S 63rd St
Mesa, AZ 85206
Phone (480) 641-3937

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

5620 E Broadway Rd
Mesa, AZ 85206
Phone (480) 981-6111

302 W Main St
Payson, AZ 85541
Phone (928) 474-4126

13943 N 91st Ave
Ste D101
Peoria, AZ 85381

1101 E Missouri Ave
Phoenix, AZ 85014
Phone (602) 222-2221

15401 N 29th Ave
Phoenix, AZ 85053
Phone (602) 583-2020

18325 N Allied Way
Ste 100
Phoenix, AZ 85054
Phone (602) 467-4966

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

1951 S White Mountain Rd
Show Low, AZ 85901

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

Interoperability endpoints

  • Direct secure messaging: karim.jamal@direct.avp.nextgenshare.com
  • Direct secure messaging: karim.jamalmd.p20@direct.avp.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1982759221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32530",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850642530",
            "telephone_number": "602-222-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E MISSOURI AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142709",
            "telephone_number": "602-222-2221",
            "fax_number": "602-266-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 N Camino Mercado Ste 1",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851225759",
            "country_code": "US",
            "telephone_number": "520-426-9224",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMAL",
        "first_name": "KARIM",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M7299",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "41066",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "41066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185887003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417109",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84431261",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185887001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185887002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135343512",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185887004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135343513",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.