Individual provider Active NPI

Karen Brenda Alonso, M.D.

  • Hospitalist Physician
  • Glendale, AZ
National Provider Identifier
1033439328
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
47925 Issued in AZ
Practice address
5555 W. Thunderbird
Banner Thunderbird Medical Center
Glendale, AZ 85306
Phone
(602) 865-2627
Fax
(602) 865-2632
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R72082 AZ
Hospitalist Physician 208M00000X 47925 AZ Primary
Internal Medicine Physician 207R00000X 47925 AZ

Addresses

Primary practice location

5555 W. Thunderbird
Banner Thunderbird Medical Center
Glendale, AZ 85306

Mailing address

5555 W. Thunderbird
Banner Thunderbird Medical Center
Glendale, AZ 85306
Phone (602) 865-2627

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
I20150304001461 AZ Practitioner - Internal Medicine 9638495948 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wings of Hope Medical Services LLCGroup PAC ID 7719277169, 8 clinicians

Practice addresses (Care Compare)

11022 N 28TH Dr
Suite 270
Phoenix, AZ 85029-5639
Phone (602) 971-0304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R72082AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Hospitalist Associates LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Wings of Hope Medical Services, LLC Internal Medicine CurrentSince Oct 18, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Mar 1, 2015 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Mar 1, 2015 Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

4022 E Presidio St
Mesa, AZ 85215
Phone (480) 296-7642

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

11022 N 28th Dr
Ste 270
Phoenix, AZ 85029
Phone (602) 971-0304

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1033439328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 W. THUNDERBIRD",
            "address_2": "BANNER THUNDERBIRD MEDICAL CENTER",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "602-865-2627",
            "fax_number": "602-865-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 W. THUNDERBIRD",
            "address_2": "BANNER THUNDERBIRD MEDICAL CENTER",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "602-865-2627",
            "fax_number": "602-865-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "KAREN",
        "middle_name": "BRENDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R72082",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "47925",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "47925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.