Active NPI
Southwest Kidney Institute Vascular Center LLC
- Nephrology Physician
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- SOUTHWEST KIDNEY INSTITUTE VASCULAR CENTER LLC
- Practice address
- 1100 E University Dr
Tempe, AZ 85281-8401 - Phone
- (602) 277-4429
- NPI assigned
- Feb 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randy Cooper, MD
- Title
- President
- Phone
- (602) 277-4429
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1100 E University Dr
Tempe, AZ 85281-8401
Mailing address
2620 N 3Rd St
Phoenix, AZ 85004-1153
Phone (602) 277-4429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110616000084 | AZ | Part B Supplier - Clinic/Group Practice | 4183801350 |
Receives reassigned benefits from 10 practitioners Practice locations: Peoria, AZ; Tempe, AZ; Tucson, AZ |
National Provider Directory
National Provider DirectoryLocations
7362 W Thunderbird Rd
Ste 104
Peoria, AZ 85381
Phone (623) 486-0327
2610 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-3541
100 E University Dr Ste 102
Tempe, AZ 85281
1100 E University Dr
Tempe, AZ 85288
Phone (602) 277-4429
1100 E University Dr
Ste 102
Tempe, AZ 85288
Phone (480) 610-6152
2121 N Beverly Ave
Tucson, AZ 85712
325 S Euclid Ave
Ste 100
Tucson, AZ 85719
325 N Euclid Ave
Ste 100
Tucson, AZ 85719
700 E Broadway Blvd
Ste 100
Tucson, AZ 85719
Phone (520) 327-6265
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310601600000",
"number": "1134426893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041153",
"telephone_number": "602-277-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E UNIVERSITY DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852818401",
"telephone_number": "602-277-4429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST KIDNEY INSTITUTE VASCULAR CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-16",
"last_updated": "2011-07-14",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-277-4429",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
- Southwest Dental Group, Esq.
- Southwest Family Naturopathic Clinic PLLC
- Southwest GD Dental Corp
- Southwest Kidney Davita Dialysis Partners LLC
- Southwest Kidney Dialysis, LLC
- Southwest Kidney Institute, PLC
- Southwest Pathology PLLC
- Southwest Perfusion, Inc.
- Southwest Primary Care
- Southwest Spine & Rehab Tempe LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.