Individual provider Active NPI

Naomi Kis, MD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1033746417
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
77271 Issued in AZ
Practice address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone
(602) 406-3430
Fax
(602) 406-2340
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 77271 AZ Primary

Addresses

Primary practice location

350 W Thomas Rd
Phoenix, AZ 85013-4409

Mailing address

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Other practice location 1

17040 N 51st Ave Ste 100
Glendale, AZ 85308-1496
Phone (602) 406-1164

Other practice location 2

4975 N Dysart Rd Unit 100
Litchfield Park, AZ 85340-3082
Phone (602) 406-8852

Other practice location 3

13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone (623) 882-1500

Other practice location 4

7330 N 99th Ave Ste 200
Glendale, AZ 85307-3018
Phone (602) 406-0033

Other practice location 5

625 N 6th St
Phoenix, AZ 85004-2155
Phone (602) 406-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AL, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250630002561 AZ Practitioner - Diagnostic Radiology 0840618468 Reassigns benefits to 6 organizations
I20260303004321 AL Practitioner - Diagnostic Radiology 0840618468 Reassigns benefits to 7 organizations
I20260328000226 MI Practitioner - Diagnostic Radiology 0840618468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians
Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians

Practice addresses (Care Compare)

Phoenix, AZ 85004
Phone (888) 264-0330

13677 W McDowell Rd
West Valley Hospital
Goodyear, AZ 85338-2635
Phone (602) 674-6506

500 Hospital Dr
Wetumpka, AL 36092-1625
Phone (334) 514-3848

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77271AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coaxion PLLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Jan 20, 2026 Accepting new patients
Enterprise Urgent Care CurrentSince Jan 20, 2026 Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Jan 20, 2026 Accepting new patients
St Josephs Pathology Current Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Jan 20, 2026 Accepting new patients
Prime Radiology Consultants P.C. Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Mt Graham Regional Medical Center Inc CurrentSince Oct 1, 2025 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Oct 30, 2025 Accepting new patients
Ivy Creek Family Care of Lake Martin CurrentSince Jan 20, 2026 Accepting new patients
Chilton Family Care, LLC CurrentSince Jan 20, 2026 Accepting new patients
River Region Family Medicine, LLC CurrentSince Jan 20, 2026 Accepting new patients
Physical Express CurrentSince Jan 20, 2026 Accepting new patients
Sjhmc Physician Services CurrentSince Aug 1, 2025 Accepting new patients
X-Ray Associates of Port Huron P C Diagnostic Radiology Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

4412 Hogan Rd
Deatsville, AL 36022
Phone (334) 514-4851

6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027

4081 Highway 14
Millbrook, AL 36054
Phone (334) 285-3222

277 Huntress St
Ste 100
Wetumpka, AL 36092
Phone (334) 567-3309

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

17040 N 51st Ave
Ste 100
Glendale, AZ 85308
Phone (602) 406-1164

7330 N 99th Ave
Ste 200
Glendale, AZ 85307
Phone (602) 406-0033

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

4975 N Dysart Rd
Unit 100
Litchfield Pk, AZ 85340
Phone (602) 406-8700

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

625 N 6th St
Phoenix, AZ 85004
Phone (602) 406-8222

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

File 56765
Los Angeles, CA 90074

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 7

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1033746417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-3430",
            "fax_number": "602-406-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17040 N 51st Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081496",
            "country_code": "US",
            "telephone_number": "602-406-1164",
            "fax_number": "623-935-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4975 N Dysart Rd Unit 100",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853403082",
            "country_code": "US",
            "telephone_number": "602-406-8852",
            "fax_number": "623-935-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13677 W McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952635",
            "country_code": "US",
            "telephone_number": "623-882-1500",
            "fax_number": "623-882-1912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7330 N 99th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853073018",
            "country_code": "US",
            "telephone_number": "602-406-0033",
            "fax_number": "602-406-0035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850042155",
            "country_code": "US",
            "telephone_number": "602-406-8222",
            "fax_number": "602-406-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIS",
        "first_name": "NAOMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "77271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.