Mitzi Rose Krockover, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34681 Issued in KY

Practice address

5685 N Scottsdale Rd
E100
Scottsdale, AZ 85250-5900

Phone

(480) 707-4521

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104039593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5685 N SCOTTSDALE RD",
            "address_2": "E100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852505900",
            "telephone_number": "480-707-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5685 N SCOTTSDALE RD",
            "address_2": "E100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852505900",
            "telephone_number": "480-707-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROCKOVER",
        "first_name": "MITZI",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48336",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "34681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "34681",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A48336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Krings, DPT, CSCS
• Jacob William Krischke, CRNA
• Chandan Krishna, M.D.
• Jyothi Krishnamurthy, M.D.
• Lindsey Marie Kriz, FNP
• Bradlee James Kroeker, MOT
• Kathleen Ann Krolick, FNP
• Brandon Jason Kroll, DMD
• Judith Krotec, NP
• Steven S Krotzer, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.