Active NPI
Sheldon Paul Kottle, M.D., MPH, FACP
- Nephrology Physician
- Paradise Valley, AZ
National Provider Identifier
1104074384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 21087
- Practice address
- 6420 E Hummingbird LN
Paradise Valley, AZ 85253-3655 - Phone
- (480) 483-9777
- Fax
- (480) 951-8278
- NPI assigned
- Aug 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 21087 | AZ | Primary |
| Nephrology Physician | 207RN0300X | MD.INT | LA |
Addresses
Primary practice location
6420 E Hummingbird LN
Paradise Valley, AZ 85253-3655
Mailing address
6420 E Hummingbird LN
Paradise Valley, AZ 85253-3655
Phone (480) 483-9777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21087 | AZ | MD | Nephrology Physician |
| MD.INT | LA | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1104074384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 E HUMMINGBIRD LN",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852533655",
"telephone_number": "480-483-9777",
"fax_number": "480-951-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 E HUMMINGBIRD LN",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852533655",
"telephone_number": "480-483-9777",
"fax_number": "480-951-8278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTTLE",
"first_name": "SHELDON",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D., MPH, FACP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-31",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AZ",
"license": "21087",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "LA",
"license": "MD.INT",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paradise Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.