NPIMap

Individual provider Active NPI

Kurtis Scott Staples, M.D.

  • Orthopaedic Trauma Physician
  • Scottsdale, AZ
National Provider Identifier
1063638633
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
38083 Issued in AZ
Practice address
3126 N Civic Center PLZ
Scottsdale, AZ 85251-6912
Phone
(480) 874-2040
Fax
(480) 874-2041
NPI assigned
Apr 18, 2007
Last updated
Jul 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 38083 AZ Primary

Addresses

Primary practice location

3126 N Civic Center PLZ
Scottsdale, AZ 85251-6912

Mailing address

3126 N Civic Center PLZ
Scottsdale, AZ 85251-6912
Phone (480) 874-2040

Other identifiers 1

IdentifierTypeStateIssuer
321635MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000545 AZ Practitioner - Orthopedic Surgery 0648366914 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonoran Orthopaedic Trauma SurgeonsGroup PAC ID 5991735979, 29 clinicians

Practice addresses (Care Compare)

3126 N Civic Ctr PLZ
Scottsdale, AZ 85251-6912
Phone (480) 874-2040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement49
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Honorhealth CurrentSince Oct 1, 2010 Accepting new patients
Honorhealth Orthopaedic Surgery Current Accepting new patients
Honorhealth CurrentSince Oct 1, 2010 Accepting new patients
Sonoran Orthopaedic Trauma Surgeons Orthopaedic Trauma CurrentSince Aug 12, 2014 Accepting new patients

Locations

10240 W Indian School Rd
Ste 115
Phoenix, AZ 85037
Phone (623) 243-9077

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

702 E Bell Rd
Ste 117
Phoenix, AZ 85022
Phone (602) 482-7311

3126 N Civic Center Plz
Scottsdale, AZ 85251
Phone (480) 949-2760

3501 N Scottsdale Rd
Ste 136
Scottsdale, AZ 85251
Phone (480) 882-6050

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5564/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1063638633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516912",
            "telephone_number": "480-874-2040",
            "fax_number": "480-874-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516912",
            "telephone_number": "480-874-2040",
            "fax_number": "480-874-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "KURTIS",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "AZ",
            "license": "38083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321635",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.