Individual provider Active NPI

Meghann Lee Kaiser, M.D.

  • Surgical Critical Care Physician
  • Phoenix, AZ
National Provider Identifier
1124204177
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
58056 Issued in AZ
Practice address
16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Phone
(602) 633-3721
Fax
(602) 953-5466
NPI assigned
Jan 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 58056 AZ Primary
Surgical Critical Care Physician 2086S0102X A102536 CA
Surgical Critical Care Physician 2086S0102X 37530 SC

Addresses

Primary practice location

16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356

Mailing address

16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Phone (602) 633-3721

Other practice location 1

890 W Faris Rd
Ste 310
Greenville, SC 29605-4253
Phone (864) 455-8300

Other identifiers 3

IdentifierTypeStateIssuer
1861707770MedicaidCA
549539MedicaidAZ
Q0149NMedicaidSC

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
I20190808002366 AZ Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 6709020324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
University of California, Irvine, California College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgical Specialists LLCGroup PAC ID 7315106416, 17 clinicians

Practice addresses (Care Compare)

16601 N 40TH St
Suite 204
Phoenix, AZ 85032-3356
Phone (602) 633-3721

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58056AZMDSurgical Critical Care Physician
A102536CAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Surgery CurrentSince Sep 3, 2019 Accepting new patients
Honorhealth CurrentSince Sep 3, 2019 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 8, 2020 Accepting new patients
Acute Care Surgical Specialists, LLC CurrentSince Sep 1, 2019 Accepting new patients
Valley Surgical Clinics, LTD Surgery CurrentSince Dec 1, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 8, 2020 Accepting new patients
Honorhealth Ambulatory Surgery Past Accepting new patients
Honorhealth Past Accepting new patients
Honorhealth Past Accepting new patients

Locations

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

6036 N 19th Ave
Ste 208
Phoenix, AZ 85015
Phone (480) 896-9888

9202 N 2nd St
Phoenix, AZ 85020
Phone (480) 583-0500

16601 N 40th St
Ste 227
Phoenix, AZ 85032
Phone (602) 633-3721

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

16601 N 40th St
Ste 204
Phoenix, AZ 85032
Phone (602) 633-3721

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

10290 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 905-2015

7351 E Osborn Rd
Ste 100
Scottsdale, AZ 85251
Phone (480) 882-7300

Interoperability endpoints

  • Direct secure messaging: meghannkaiser@vsc.allscriptsdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1200787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1124204177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323356",
            "telephone_number": "602-633-3721",
            "fax_number": "602-953-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323356",
            "telephone_number": "602-633-3721",
            "fax_number": "602-953-5466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 W Faris Rd",
            "address_2": "Ste 310",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054253",
            "country_code": "US",
            "telephone_number": "864-455-8300",
            "fax_number": "864-455-8310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISER",
        "first_name": "MEGHANN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AZ",
            "license": "58056",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "A102536",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "SC",
            "license": "37530",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861707770",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "549539",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0149N",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.