Kyle Collingwood Edwards, D.O.
Individual provider Active NPI Hospitalist Physician · Flagstaff, AZ
NPI 1184970592 · NPPES record last updated Jun 23, 2020
Key facts
- NPI
- 1184970592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 006654 (AZ)
- Practice address
- 1200 N Beaver St
Flagstaff, AZ 86001-3118 - Phone
- (928) 773-2451
- Fax
- (928) 214-2925
- NPI assigned
- Aug 3, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Hospitalist
- 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 LLC
Tucson Physician Group Holdings LLC
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
- Oro Valley Hospital
- St. Mary'S Hospital
- Banner - University Medical Center Tucson Campus
- Northwest Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150909002075 | AZ | Practitioner - Hospitalist |
5395065353 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Physicians, Inc | Family Medicine | Current |
Accepting new patients |
| Northern Arizona Healthcare Corporation | Family Medicine | Current |
Accepting new patients |
| Northern Arizona Healthcare Corporation | Current |
Accepting new patients | |
| App of Southern Arizona HM LLC | Hospitalist | Current |
Accepting new patients |
| Northwest HBP Medical Services LLC | Hospitalist | Current |
Accepting new patients |
| American Physicians, Inc. | Hospitalist | Current |
Accepting new patients |
| Cogent Healthcare of Arizona PC | Internal Medicine | Current |
Accepting new patients |
| Oro Valley Hospital LLC | Past | Accepting new patients | |
| SMSJ Tucson Holdings 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
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
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) 377-1674
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 006654 | AZ | |
| Hospitalist Physician | 208M00000X | 006654 | AZ | Yes |
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
Other providers in Flagstaff, AZ
- Regina Stephanie Eddie
- Glenn Edgerton
- Sarah A. Edmonds
- Edward L Wiebe DPM PC
- Brooke Edwards
- Michael Edwards
- Patricia Lucene Edwards
- Tonya Ivanov Edwards
- Victoria Edwards
- Clara Ann Effertz
All providers in Flagstaff, AZ · Hospitalist Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.