Kishore Tipirneni, M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

24200 Issued in AZ

Practice address

19636 N 27TH Ave Ste 401
Phoenix, AZ 85027-4021

Phone

(602) 298-8888

Fax

(602) 978-4129

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Orthopedic Surgery

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Orthopedic Institute LLCGroup PAC ID 1052316445, 13 clinicians

Desert Orthopedics Center PLLCGroup PAC ID 7012279649, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
• Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

Merit-based Incentive Payment System (MIPS)

Final score

84.12 of 100Reported as group

Quality

76.35

Promoting interoperability

99

Improvement activities

40

Cost

71.55

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEAJCD/Endpoint/DEAJCD

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.

• Desert Orthopedics Center PLLC

  • Orthopaedic Surgery Physician
  • Scottsdale, AZ
  • NPI 1760983977
  Medicare reassignment Care Compare group NPD
• Lakeside Orthopedic Institute LLC

  • Orthopaedic Surgery Physician
  • Lake Havasu City, AZ
  • NPI 1275564916
  Medicare reassignment Care Compare group NPD (past)
• Lakeside Orthopedic Institute LLC

  • Diagnostic Radiology Physician
  • Lake Havasu City, AZ
  • NPI 1528870243
  NPD
• Lakeside Orthopedic Institute LLC

  • Orthopaedic Surgery Physician
  • Lake Havasu City, AZ
  • NPI 1679764229
  NPD
• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  NPD (past)
• Valley Anesthesiology Consultants, Inc.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1285660704
  NPD (past)

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

• Havasu Regional Medical Center LLC

  • Rural Acute Care Hospital
  • Lake Havasu City, AZ
  • NPI 1780761866
  Care Compare affiliation
• VHS of Arrowhead, Inc

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1326022765
  Care Compare affiliation
• VHS of Arrowhead, Inc.

  • General Acute Care Hospital
  • Peoria, AZ
  • NPI 1801340781
  Care Compare affiliation

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1033184486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST STE 310",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515627",
            "telephone_number": "877-821-4657",
            "fax_number": "866-207-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE STE 401",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274021",
            "telephone_number": "602-298-8888",
            "fax_number": "602-978-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPIRNENI",
        "first_name": "KISHORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AZ",
            "license": "24200",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "24200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362872",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3Z3942",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Tinta, AGACNP-BC
• Iliana Tintos, MSC, LPC
• Tiny to Mighty Pediatric Therapy LLC
• Tinysteps Pediatric Therapy LLC
• Marie Hortense Tiokou, PMHNP
• Brandi D Tippett
• Luvell Tippett, CPT
• Yvette Tirello, LMFT
• Blake Randall Tirman
• Brian Tirrell, RBT

• Adult Reconstructive Orthopaedic Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.