Individual provider Active NPI

Michael Kabyemela, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1104461508
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
234156 Issued in AZ
Practice address
1510 E Flower St BLDG 2
Phoenix, AZ 85014-5656
Phone
(480) 268-2670
Fax
(877) 268-2671
NPI assigned
Nov 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 234156 AZ Primary

Addresses

Primary practice location

1510 E Flower St BLDG 2
Phoenix, AZ 85014-5656

Mailing address

1510 E Flower St BLDG 2
Phoenix, AZ 85014-5656
Phone (480) 268-2670

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201229000786 AZ Practitioner - Nurse Practitioner 8426461070 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Your Health Connection LLC 4 clinicians

Practice addresses (Care Compare)

Phoenix, AZ 85014
Phone (480) 268-2670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
234156AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Telehealth Corp CurrentSince Aug 31, 2020 Accepting new patients
Scottsdale Physicians Group PLC CurrentSince Aug 31, 2020 Accepting new patients
Geriatric Solutions - Hov, LLC CurrentSince Jan 23, 2026 Accepting new patients

Locations

1510 E Flower St
Bldg 2
Phoenix, AZ 85014
Phone (480) 268-2670

1510 E Flower St
Phoenix, AZ 85014
Phone (602) 530-6900

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

Interoperability endpoints

  • Direct secure messaging: michael.kabyemela.1@32658.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1573344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1104461508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST BLDG 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145656",
            "telephone_number": "480-268-2670",
            "fax_number": "877-268-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST BLDG 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145656",
            "telephone_number": "480-268-2670",
            "fax_number": "877-268-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABYEMELA",
        "first_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-10",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "234156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.