Individual provider Active NPI

Kimberly Sarah Tay

  • Urology Physician
  • Glendale, AZ
National Provider Identifier
1003378035
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
75095 Issued in AZ
Practice address
6525 W Sack Dr Ste 201
Glendale, AZ 85308-7106
Phone
(602) 337-8500
NPI assigned
Mar 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 75095 AZ Primary

Addresses

Primary practice location

6525 W Sack Dr Ste 201
Glendale, AZ 85308-7106

Mailing address

11100 Euclid Ave
Cleveland, OH 44106-1716

Other practice location 1

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

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
I20250123001809 AZ Practitioner - Urology 8820321664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Arizona College of Medicine - Phoenix, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona State Urology LLCGroup PAC ID 4486088952, 3 clinicians

Practice addresses (Care Compare)

6525 W Sack Dr
Suite 201
Glendale, AZ 85308-7106
Phone (602) 337-8500

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona State Urology LLC Urology CurrentSince Jan 1, 2025 Accepting new patients

Locations

6525 W Sack Dr
Ste 201
Glendale, AZ 85308
Phone (602) 337-8500

Interoperability endpoints

  • Direct secure messaging: ktay38157@ehrdirect.uhhospitals.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFJDAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFJDAD/Endpoint/GFJDAD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1003378035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 W SACK DR STE 201",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087106",
            "telephone_number": "602-337-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAY",
        "first_name": "KIMBERLY",
        "middle_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "75095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.