Active NPI
David Kee Tom, M.D.
- Interventional Pain Medicine Physician
- Sun City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 43118
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52007 | Medicaid | AZ |
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
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43118 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Anesthesia Consultants PLC | Anesthesiology | Current | Accepting new patients |
| Novaspine Pain Institute, PLC | Anesthesiology | Current | Accepting new patients |
| Novaspine Pain Institute, PLC | Current | Accepting new patients | |
| Silverleaf Surgical Center, LLC | Current | Accepting new patients | |
| Arizona Infusion Centers LLC | Past | Accepting new patients | |
| Grand Canyon Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
| Avon Surgical Centers, LLC | Past | 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.
-
- Anesthesiology Physician
- Gilbert, AZ
- NPI 1144645656
-
- Pain Medicine Physician
- Sun City West, AZ
- NPI 1154745263
Anesthesiology
-
- Ambulatory Surgical Clinic/Center
- Gilbert, AZ
- NPI 1780035428
-
- Durable Medical Equipment & Medical Supplies
- Gilbert, AZ
- NPI 1356896138
-
- Pain Medicine Physician
- Sun City West, AZ
- NPI 1265233019
-
- Ambulatory Surgical Clinic/Center
- Avondale, AZ
- NPI 1891536991
-
- Anesthesiology Physician
- Scottsdale, AZ
- NPI 1356822902
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.