KAMRAN JAVADI PA-C, MPH
NPI 1326635905
Physician Assistant in Grand Canyon, AZ

Q: What is Kamran Javadi's NPI number?

The NPI number for Kamran Javadi is 1326635905. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Q: What is Kamran Javadi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kamran Javadi was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 29, 2020PECOS EnrolledAccepts Medicare Assignment

1 CLINIC RD, GRAND CANYON, AZ 86023(928) 638-2551 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2026, Aug 30, 2023, Sep 15, 2021 and 1 more (4 updates tracked since 2020).

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About Kamran Javadi Pa-c, Mph NPPES

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

KAMRAN JAVADI PA-C, MPH (NPI 1326635905) is an individual physician assistant in Grand Canyon, Arizona, licensed in Arizona (9681) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1326635905

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKAMRAN JAVADICredential: PA-C, MPH

Location Address1 CLINIC RDGrand Canyon, AZ 86023-0290

Mailing AddressPo Box 1231Tucson, AZ 85702-1231 · (520) 670-3909 · Fax (520) 309-2560

Phone(928) 638-2551

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 29, 2020

Last NPPES UpdateApril 24, 20264 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1326635905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in AZ · 9681✔ Licensed in MT · 91664

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1 CLINIC RD, Grand Canyon, AZ 86023

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kamran Javadi Pa-c, Mph 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 ID840606471

PECOS Enrollment IDI20230719002181

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86023 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

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 8

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

NORTH COUNTRY HEALTHCARE, INC.

Pharmacy (Clinic Pharmacy)