Kyle J Stoeckmann, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25770 Issued in AZ

Practice address

21300 N John Wayne Parkway
Ste 123
Maricopa, AZ 85239

Phone

(520) 494-7778

Fax

(520) 494-7779

NPI assigned

Aug 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of Arizona College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Greater Phoenix Collaborative Care PCGroup PAC ID 0941503304, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• American Home Health Services, Inc. Home health agency, Mesa, AZ, CCN 037426
• Thema Health Services Home health agency, Phoenix, AZ, CCN 037202
• Sweetheart Healthcare LLC Home health agency, Chandler, AZ, CCN 037813
• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kstoeckmann114530@westdirect.optum.com

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.

• Greater Phoenix Collaborative Care PC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1750686614
  Medicare reassignment Care Compare group NPD
• 4C Medical Group PLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1558654384

  Internal Medicine

  Medicare reassignment NPD
• 4C Medical Group PLC

  • Urgent Care Clinic/Center
  • Carefree, AZ
  • NPI 1669916607
  NPD
• Greater Phoenix Collaborative Care PC

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1790581742
  NPD

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

• American Home Health Services, Inc

  • Home Health Agency
  • Mesa, AZ
  • NPI 1114279536
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation
• Dignity Community Care

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  Care Compare affiliation
• Home Health Resources, LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1477547123
  Care Compare affiliation
• Sweetheart Healthcare, LLC

  • Home Health Agency
  • Chandler, AZ
  • NPI 1699440073
  Care Compare affiliation

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1154322907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PKWY",
            "address_2": "STE123",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "852398979",
            "telephone_number": "520-494-7778",
            "fax_number": "520-494-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PARKWAY",
            "address_2": "STE 123",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "85239",
            "telephone_number": "520-494-7778",
            "fax_number": "520-494-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOECKMANN",
        "first_name": "KYLE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "25770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "950164",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Heidi Lynn Stehle, LPN
• Lizabeth Joy Stephens, RN
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• Successful Livings LLC.
• Sultan Y. Ayoub FNP PLLC
• Sun Life Family Health Center Inc
• Sun Life Family Health Center, Inc.

• Internal Medicine Physician in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.

Verify at the official NPI Registry.