Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Johnathan Kirupakaran, DO

Individual provider Cardiovascular Disease Physician · NPI 1164089090

Dr. Johnathan Kirupakaran, DO is an Internal Medicine in Mesa, Arizona. Graduated from Michigan State University College of Osteopathic Medicine in 2019, 7 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
AZ
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1520 S Dobson Rd Ste 203
Mesa, AZ 85202-4726
Phone: (480) 733-7535
Fax: (480) 896-3374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 011366 (AZ)

Record details

NPI number1164089090
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 27, 2019
Last updated in NPPESOctober 12, 2025
Certification dateOctober 12, 2025
Mailing address1520 S Dobson Rd Ste 203, Mesa, AZ 85202-4726

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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