Mikayla Koop

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

297582 Issued in AZ

Practice address

7301 E 2ND St Ste 206
Scottsdale, AZ 85251-5610

Phone

(602) 761-7819

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Social Work Associates LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1538573282
  Medicare reassignment NPD

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1093594400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 N 75TH ST UNIT 6003",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514079",
            "telephone_number": "480-406-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST STE 206",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515610",
            "telephone_number": "602-761-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOP",
        "first_name": "MIKAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "297582",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "297582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Konstantinidis, OT
• Rebekah Christine Kontz, PT, DPT
• Keyvan Koochek, MD
• Kathleen Lee Kool, L.AC.
• Nicholas Andrew Koontz, M.D.
• Alfred F Koos Jr., PA-C
• Moreen Koppula, M.D.
• Kor Smile PLLC
• Mary Ellen Koran, M.D., PH.D.
• Kore Chiropractic, PLLC

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.

Verify at the official NPI Registry.