Active NPI
Louis Carlton Kirby II, MD
- Neurology Physician
- Paradise Valley, AZ
National Provider Identifier
1104985936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 15452
- Practice address
- 5633 N Royal Cir
Paradise Valley, AZ 85253-7518 - Phone
- (602) 957-6323
- Fax
- (602) 957-4053
- NPI assigned
- Dec 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 15452 | AZ | Primary |
Addresses
Primary practice location
5633 N Royal Cir
Paradise Valley, AZ 85253-7518
Mailing address
5633 N Royal Cir
Paradise Valley, AZ 85253-7518
Phone (602) 957-6323
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15452 | AZ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Arthritis Care LLC | Past | Accepting new patients | |
| Fit Health Care LLC | Past | Accepting new patients | |
| Orange Medical LLC | Past | Accepting new patients | |
| Insight Energy Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11218/brand/1/csg/1/fhir/r4
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.
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-
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- NPI 1497178081
-
- Rheumatology Physician
- Peoria, AZ
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1104985936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5633 N ROYAL CIR",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852537518",
"telephone_number": "602-957-6323",
"fax_number": "602-957-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5633 N ROYAL CIR",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852537518",
"telephone_number": "602-957-6323",
"fax_number": "602-957-4053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "LOUIS",
"middle_name": "CARLTON",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "15452",
"primary": true
}
],
"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 Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.