Individual provider Active NPI

David Kee Tom, M.D.

  • Interventional Pain Medicine Physician
  • Sun City, AZ
National Provider Identifier
1043491988
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
43118 Issued in AZ
Practice address
13203 N 103Rd Ave Ste H5
Sun City, AZ 85351-3032
Phone
(623) 777-4747
NPI assigned
Nov 20, 2007
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 43118 AZ
Pain Medicine (Anesthesiology) Physician 207LP2900X 43118 AZ
Internal Medicine Physician 207R00000X 43118 AZ
Interventional Pain Medicine Physician 208VP0014X 43118 AZ Primary

Addresses

Primary practice location

13203 N 103Rd Ave Ste H5
Sun City, AZ 85351-3032

Mailing address

PO Box 5068
Sun City West, AZ 85376
Phone (623) 777-4747

Other identifiers 1

IdentifierTypeStateIssuer
52007MedicaidAZ

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
I20101011001158 AZ Practitioner - Internal MedicinePractitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 9931119492 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43118AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Anesthesia Consultants PLC Anesthesiology CurrentSince Mar 1, 2014 Accepting new patients
Novaspine Pain Institute, PLC Anesthesiology CurrentSince May 1, 2014 Accepting new patients
Novaspine Pain Institute, PLC CurrentSince Apr 8, 2014 Accepting new patients
Silverleaf Surgical Center, LLC Current Accepting new patients
Arizona Infusion Centers LLC PastSince Aug 1, 2022 Accepting new patients
Grand Canyon Anesthesia LLC Anesthesiology PastSince Aug 21, 2014 Accepting new patients
Avon Surgical Centers, LLC PastSince May 31, 2024 Accepting new patients

Locations

3615 S Rome St
Gilbert, AZ 85297
Phone (480) 245-4425

3645 S Rome St
Ste 204
Gilbert, AZ 85297
Phone (480) 534-4520

3135 E Lincoln Dr
Ste A
Phoenix, AZ 85016
Phone (602) 349-5040

13203 N 103rd Ave
Ste H5
Sun City, AZ 85351
Phone 62377747474789

13640 N 99th Ave
Ste 100
Sun City, AZ 85351
Phone (602) 463-4872

14300 W Granite Valley Dr
Ste A1
Sun City West, AZ 85375
Phone (602) 546-4934

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1043491988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5068",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "85376",
            "telephone_number": "623-777-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 N 103RD AVE STE H5",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513032",
            "telephone_number": "623-777-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "DAVID",
        "middle_name": "KEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "43118",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "43118",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "43118",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "43118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52007",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.