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

Karthik Kailasam, MD

Individual provider Internal Medicine Physician · NPI 1083097356

Karthik Kailasam, MD is an Internal Medicine in Mesa, Arizona. Qualified in 2014, 12 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group and accepts Medicare assignment. Licensed in Arizona, Michigan and Ohio.

Years since qualifying
12
Licensed in
AZ, MI, OH
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 S Dobson Road Attn: Bmg Hospitalist Team / Amanda Gump
Mesa, AZ 85202
Phone: (480) 412-6788
Fax: (480) 412-6848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 62158 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301107282 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35.133669 (OH)

Record details

NPI number1083097356
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2015
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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