Individual provider Active NPI

Kyle Collingwood Edwards, D.O.

  • Hospitalist Physician
  • Flagstaff, AZ
National Provider Identifier
1184970592
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
006654 Issued in AZ
Practice address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone
(928) 773-2451
Fax
(928) 214-2925
NPI assigned
Aug 3, 2012
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 006654 AZ
Hospitalist Physician 208M00000X 006654 AZ Primary

Addresses

Primary practice location

1200 N Beaver St
Flagstaff, AZ 86001-3118

Mailing address

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 213-6235

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
I20150909002075 AZ Practitioner - HospitalistPractitioner - Internal Medicine 5395065353 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 229-2657

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 873-3000

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006654AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Healthcare Corporation CurrentSince Nov 1, 2019 Accepting new patients
Northwest HBP Medical Services LLC Hospitalist CurrentSince Feb 10, 2024 Accepting new patients
App of Southern Arizona HM LLC Hospitalist CurrentSince Nov 1, 2021 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Oct 15, 2016 Accepting new patients
American Physicians, Inc. Hospitalist CurrentSince Jan 1, 2022 Accepting new patients
Northern Arizona Healthcare Corporation Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
American Physicians, Inc Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients
Oro Valley Hospital LLC Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

433 E 6th St
Mesa, AZ 85203
Phone (480) 427-3000

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

5620 W Cortaro Farms Rd
Tucson, AZ 85742
Phone (520) 872-4000

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-5600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1184970592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-213-6235",
            "fax_number": "928-213-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-773-2451",
            "fax_number": "928-214-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KYLE",
        "middle_name": "COLLINGWOOD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-03",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "006654",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "006654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.