Individual provider Active NPI

Kaitlin Elizabeth Buhrke, DO

  • General Practice Physician
  • Phoenix, AZ
National Provider Identifier
1124757141
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
012053 Issued in AZ
Practice address
8825 N 23Rd Ave Ste 100
Phoenix, AZ 85021-4148
Phone
(310) 560-0188
Fax
(323) 544-4248
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 012053 AZ Primary

Addresses

Primary practice location

8825 N 23Rd Ave Ste 100
Phoenix, AZ 85021-4148

Mailing address

3746 Foothill Blvd # B140
Glendale, CA 91214-1740
Phone (310) 445-5999

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
I20251221000127 AZ Practitioner - General PracticePractitioner - General Surgery 2163917758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 N Hearthstone Way Apt
Suite 3163
Chandler, AZ 85226-0043

1891 W Longhorn Dr
Chandler, AZ 85286-6224

3746 Foothill Blvd
B140
Glendale, CA 91214-1740

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012053AZMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Biologics, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

11150 N 92nd St
Scottsdale, AZ 85260
Phone (480) 860-1766

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1124757141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3746 FOOTHILL BLVD # B140",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912141740",
            "telephone_number": "310-445-5999",
            "fax_number": "323-544-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 N 23RD AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214148",
            "telephone_number": "310-560-0188",
            "fax_number": "323-544-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUHRKE",
        "first_name": "KAITLIN",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "012053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.