Individual provider Active NPI

Kristen Valderhaug, MD

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1104952449
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36784 Issued in AZ
Practice address
8603 E Royal Palm Rd Ste 120
Scottsdale, AZ 85258-4389
Phone
(480) 485-9385
Fax
(480) 781-4540
NPI assigned
Feb 23, 2007
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36784 AZ Primary

Addresses

Primary practice location

8603 E Royal Palm Rd Ste 120
Scottsdale, AZ 85258-4389

Mailing address

PO Box 15356
Scottsdale, AZ 85267-5356
Phone (480) 485-9385

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000049 AZ Practitioner - Family Practice 2769477033 Practice locations: Fountain Hills, AZ

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14825 E Shea Blvd
Suite 105
Fountain Hills, AZ 85268-5938
Phone (480) 485-9385

6350 S Maple Ave
Tempe, AZ 85283-2857
Phone (480) 485-9385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
K. Valderhaug MD PLLC Family Medicine CurrentSince Aug 23, 2019 Accepting new patients
Rajesh N. Soni, M.D. P.C. Family Medicine PastSince Aug 25, 2019 Accepting new patients
Judith Mello MD LLC Family Medicine Past Accepting new patients
Phoenician Medical Center, Inc Family Medicine PastSince Aug 1, 2023 Accepting new patients

Locations

14825 E Shea Blvd
Ste 105
Fountain Hls, AZ 85268
Phone (480) 385-9896

7500 N Dreamy Draw Dr
Ste 133
Phoenix, AZ 85020
Phone (480) 241-4423

8603 E Royal Palm Rd
Ste 120
Scottsdale, AZ 85258
Phone (480) 454-6749

6350 S Maple Ave
Tempe, AZ 85283
Phone (480) 345-5400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1104952449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15356",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852675356",
            "telephone_number": "480-485-9385",
            "fax_number": "480-781-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8603 E ROYAL PALM RD STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584389",
            "telephone_number": "480-485-9385",
            "fax_number": "480-781-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDERHAUG",
        "first_name": "KRISTEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "36784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.