Active NPI
Kurt T. Budenbender, DO
- Anesthesiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4586
- Practice address
- 1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4527 - Phone
- (602) 744-4760
- Fax
- (602) 744-4799
- NPI assigned
- Jun 6, 2006
- Last updated
- Feb 18, 2020
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4586 | AZ | Primary |
| Anesthesiology Physician | 207L00000X | 20A8275 | CA |
Addresses
Primary practice location
1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4527
Mailing address
645 E Missouri Ave
Ste 300
Phoenix, AZ 85012-1351
Phone (602) 262-8900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX82750 | Medicaid | CA | |
| 221591 | Medicaid | AZ | |
| P00667818 | Other | MEDICARE RAILROAD | |
| 020A82750 | Other | CA | BLUE SHIELD OF CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4605 E Elwood St
Suite 500
Phoenix, AZ 85040-1978
Phone (602) 200-9021
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8275 | CA | MD | Anesthesiology Physician |
| 4586 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ktbph LLC | Anesthesiology | Current | Accepting new patients |
| Valley Anesthesiology Consultants, Inc. | Anesthesiology | Current | Accepting new patients |
| Scottsdale Surgical Partners LLC | Anesthesiology | Current | Accepting new patients |
| Arizona Spine and Joint Hospital LLC | Current | Accepting new patients | |
| Anesthesia Partners of Arizona LLC | Anesthesiology | Current | Accepting new patients |
Locations
1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098
1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760
4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443
645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917
750 N 40th St
Phoenix, AZ 85008
Phone (602) 797-7700
8901 E Raintree Dr
Ste 100
Scottsdale, AZ 85260
Phone (480) 676-2100
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
Interoperability endpoints
- kurtbudenbender@asjh.medalliesdirect.net
Organizations & group practices 5
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.
-
dba North Scottsdale Anesthesia
- Anesthesiology Physician
- Scottsdale, AZ
- NPI 1396232559
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285660704
-
- Anesthesiology Physician
- Tempe, AZ
- NPI 1023953353
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arizona Specialty Hospital
- Special Hospital
- Phoenix, AZ
- NPI 1124163530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1114966025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 E MISSOURI AVE",
"address_2": "STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121351",
"telephone_number": "602-262-8900",
"fax_number": "602-262-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 N CENTRAL AVE",
"address_2": "SUITE 1600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044527",
"telephone_number": "602-744-4760",
"fax_number": "602-744-4799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDENBENDER",
"first_name": "KURT",
"middle_name": "T.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "4586",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A8275",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX82750",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "221591",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00667818",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "020A82750",
"state": "CA"
}
],
"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 Feb 18, 2020; 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.