Individual provider Active NPI

Aspen M Calkins, DO

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1215299946
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
006964 Issued in AZ
Practice address
8608 N 59TH Ave
Glendale, AZ 85302-5404
Phone
(623) 979-2565
Fax
(623) 979-2463
NPI assigned
Jun 8, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 006964 AZ Primary
Pediatrics Physician 208000000X 006964 AZ

Addresses

Primary practice location

8608 N 59TH Ave
Glendale, AZ 85302-5404

Mailing address

8608 N 59TH Ave
Glendale, AZ 85302-5404
Phone (623) 979-2565

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
I20160729000959 AZ Practitioner - Family Practice 4688967532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thunderbird Family Medicine LTDGroup PAC ID 2365744265, 2 clinicians

Practice addresses (Care Compare)

8608 N 59TH Ave
Glendale, AZ 85302-5404
Phone (623) 979-2565

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006964AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thunderbird Family Medicine LTD Family Medicine CurrentSince Jun 13, 2016 Accepting new patients

Locations

5114 W Peoria Ave
Glendale, AZ 85302
Phone (623) 979-0309

8608 N 59th Ave
Glendale, AZ 85302
Phone (623) 934-3211

Interoperability endpoints

  • Direct secure messaging: aspen.calkins.1@15843.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15843/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215299946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8608 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025404",
            "telephone_number": "623-979-2565",
            "fax_number": "623-979-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8608 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025404",
            "telephone_number": "623-979-2565",
            "fax_number": "623-979-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALKINS",
        "first_name": "ASPEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "006964",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "006964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.