Thaddeo Consunji Oconer, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

40121 Issued in AZ

Practice address

612 W Baseline Rd
Mesa, AZ 85210-6041

Phone

(480) 834-9039

Fax

(480) 964-7802

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nephrology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Kidney Associates PLCGroup PAC ID 4284611286, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• 032599 Ahwatukee Dialysis (FMC) Dialysis facility, Phoenix, AZ, CCN 032599
• 032541 Tempe Dialysis (FMC) Dialysis facility, Tempe, AZ, CCN 032541
• 032539 Mesa Dialysis Center (FMC) Dialysis facility, Gilbert, AZ, CCN 032539
• DaVita Tempe Dialysis Center Dialysis facility, Tempe, AZ, CCN 032609
• Usrc Southwest Mesa Dialysis facility, Mesa, AZ, CCN 032526
• Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
• Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
• Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105
• Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016
• Dignity Health East Valley Rehabilitation Hospital Inpatient rehabilitation facility, Chandler, AZ, CCN 033040
• Dignity Health East Valley Rehabilitation Hospital Inpatient rehabilitation facility, Gilbert, AZ, CCN 033044

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 27)

Interoperability endpoints

• Direct secure messaging: toconer23273@direct.acumenmd.com

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.

• Desert Kidney Associates PLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1144372905
  Medicare reassignment Care Compare group NPD
• Gila River Health Care Corporation

  • Critical Access Hospital
  • Laveen, AZ
  • NPI 1376538231

  TX

  Medicare reassignment NPD
• Gila River Health Care

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1598021495
  NPD
• Gila River Health Care Corporation

  • Rural Acute Care Hospital
  • Maricopa, AZ
  • NPI 1386633915
  NPD
• Gila River Health Care Corporation

  • Community/Behavioral Health Agency
  • Chandler, AZ
  • NPI 1821599424
  NPD
• Clinica la Familia, PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1780668921
  NPD (past)
• Renal Dimensions, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Queen Creek, AZ
  • NPI 1003976010
  NPD (past)
• Pacific Med & Nephrology

  • Multi-Specialty Clinic/Center
  • Sinajana, GU
  • NPI 1033391313
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of Arizona, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gilbert, AZ
  • NPI 1447280565

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Care Group Arizona, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tempe, AZ
  • NPI 1942312756

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Dimensions, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Phoenix, AZ
  • NPI 1477665289

  Dialysis facility

  Care Compare affiliation Name & address match
• Southwest Kidney Davita Dialysis Partners LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tempe, AZ
  • NPI 1578746277

  Dialysis facility

  Care Compare affiliation Name & address match
• Usrc Southwest Mesa, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mesa, AZ
  • NPI 1700506847

  Dialysis facility

  Care Compare affiliation Name & address match
• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284
  Care Compare affiliation
• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810
  Care Compare affiliation
• Banner Health

  • General Acute Care Hospital
  • Casa Grande, AZ
  • NPI 1003232976
  Care Compare affiliation
• Banner Heart Hospital

  • Special Hospital
  • Mesa, AZ
  • NPI 1215961248
  Care Compare affiliation
• Dignity-Lifepoint Rehabilitation Hospital East Valley LLC

  • Rehabilitation Hospital
  • Chandler, AZ
  • NPI 1649725193

  Inpatient rehabilitation facility

  Care Compare affiliation
• Dignity-Lifepoint Rehabilitation Hospital East Valley LLC

  • Rehabilitation Hospital
  • Gilbert, AZ
  • NPI 1689303562

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1104928571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106041",
            "telephone_number": "480-834-9039",
            "fax_number": "480-964-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106041",
            "telephone_number": "480-834-9039",
            "fax_number": "480-964-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONER",
        "first_name": "THADDEO",
        "middle_name": "CONSUNJI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GU",
            "license": "M001478",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "40121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354819",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Occupational Heatlh Centers of the Southwest PA
• Ocd Anxiety Centers Arizona LLC
• Annaliza Marie Ochoa
• Christian Ochoa, DDS
• Shannon Ochs, RN
• Ocotillo Hospital and Surgical Services, LLC
• Ocotillo Sleep Solutions LLC
• Oluwagbemiga Odede, NP
• Jill Odgren-Cole, N.D.
• Salim Otieno Odiero

• Nephrology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.