Active NPI
Kyle R Dubay, PA-C
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6927
- Practice address
- 1701 E Thomas Rd
Phoenix, AZ 85016-7646 - Phone
- (602) 845-4445
- NPI assigned
- Aug 17, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0110-005837 | VA | |
| Physician Assistant | 363A00000X | 6927 | AZ | Primary |
Addresses
Primary practice location
1701 E Thomas Rd
Phoenix, AZ 85016-7646
Mailing address
2777 S Arizona Ave Apt 2186
Chandler, AZ 85286-1816
Phone (919) 353-5087
Other practice location 1
2050 Hillpoint Blvd N
Suffolk, VA 23434-7181
Phone (757) 983-8650
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10240 N 43Rd Ave
Suite 3
Glendale, AZ 85302-2044
Phone (623) 742-2060
1066 N Power Rd
Suite 101
Mesa, AZ 85205-5709
Phone (480) 807-0130
1155 W Ocotillo Rd
Suite 4
Chandler, AZ 85248-3201
Phone (480) 374-7400
2122 N Scottsdale Rd
Scottsdale, AZ 85257-2123
Phone (480) 889-3570
2145 E Baseline Rd
Tempe, AZ 85283-1546
Phone (480) 704-4411
3229 E Greenway Rd
Suite 102
Phoenix, AZ 85032-4508
Phone (602) 788-3285
3850 W Greenway Rd
Suite 150
Phoenix, AZ 85053-3731
Phone (480) 508-5777
5410 W Thunderbird Rd
Suite 101
Glendale, AZ 85306-4711
Phone (602) 530-6189
600 S Dobson Rd
Suite C26
Chandler, AZ 85224-5690
Phone (480) 814-1560
7425 E Shea Blvd
Suite 108
Scottsdale, AZ 85260-6411
Phone (480) 348-1060
8101 N 19TH Ave
Suite a
Phoenix, AZ 85021-5161
Phone (602) 845-4505
914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382
9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-005837 | VA | MD | Family Medicine Physician |
Interoperability endpoints
- kyle.dubaypac.p1@direct.nextcare.nextgenshare.com
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1043371826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114443587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2777 S ARIZONA AVE APT 2186",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852861816",
"telephone_number": "919-353-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167646",
"telephone_number": "602-845-4445"
}
],
"practiceLocations": [
{
"address_1": "2050 Hillpoint Blvd N",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "234347181",
"country_code": "US",
"telephone_number": "757-983-8650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBAY",
"first_name": "KYLE",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0110-005837",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.