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DR. JOHNATHAN KIRUPAKARAN DO
NPI 1164089090
Internal Medicine - Cardiovascular Disease in Mesa, AZ

Active since May 27, 2019PECOS EnrolledAccepts Medicare Assignment
1520 S DOBSON RD STE 203, MESA, AZ 85202(480) 733-7535(480) 896-3374 Get Directions Write a Review

NPPES record last updated: October 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2025, Aug 7, 2025, Nov 3, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Johnathan Kirupakaran Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHNATHAN KIRUPAKARAN DO (NPI 1164089090) is an individual cardiovascular disease provider in Mesa, Arizona, licensed in Arizona (011366) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1164089090
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JOHNATHAN KIRUPAKARANCredential: DO
Location Address1520 S DOBSON RD STE 203Mesa, AZ 85202-4726
Mailing Address1520 S Dobson Rd Ste 203Mesa, AZ 85202-4726 · (480) 733-7535 · Fax (480) 896-3374
Phone(480) 733-7535
Fax(480) 896-3374
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2019
Enumeration DateMay 27, 2019
Last NPPES UpdateOctober 12, 20254 updates tracked since enumeration
NPPES CertifiedOctober 12, 2025
✔ NPI 1164089090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in AZ · 011366
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1520 S DOBSON RD STE 203, Mesa, AZ 85202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Johnathan Kirupakaran Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890214829
PECOS Enrollment IDI20250522002192
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Johnathan Kirupakaran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner Physician Specialists Arizona LLC
13 mi
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 538 clinicians in this Medicare group
NPI 1033730429 (602) 747-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUCHIT SHAH
Internal Medicine (Interventional Cardiology)
1520 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (480) 733-7535
DR. JAMEE NOELLE NICOLETTI PH.D.
Clinical Neuropsychologist
1520 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (480) 412-8080
JAKE CORDELL MARTINEZ DO
Internal Medicine (Clinical Cardiac Electrophysiology)
1520 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (807) 337-5354
DR. MOHAMED SAMEH TELEB M.D.
Psychiatry & Neurology (Vascular Neurology)
1520 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (480) 412-8080
JOEL MICHAEL STARY M.D., PH.D.
Neurological Surgery
1520 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (217) 721-3930
JENNIFER LYNN BERRY ACNP
Nurse Practitioner (Acute Care)
1520 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (480) 412-8080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnathan Kirupakaran's NPI number?

The NPI number for Johnathan Kirupakaran is 1164089090. It was assigned to this individual provider in the NPPES registry on May 27, 2019.

Where is Johnathan Kirupakaran located?

Johnathan Kirupakaran practices at 1520 S Dobson Rd Ste 203, Mesa, AZ 85202. The listed phone number is (480) 733-7535.

What is Johnathan Kirupakaran's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Johnathan Kirupakaran enrolled in Medicare?

Yes. Johnathan Kirupakaran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Johnathan Kirupakaran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnathan Kirupakaran reassigns Medicare benefits to Banner Physician Specialists Arizona LLC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnathan Kirupakaran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johnathan Kirupakaran accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Johnathan Kirupakaran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johnathan Kirupakaran was last updated on October 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.