Individual provider Active NPI

Klee S Bethel, MD

  • Interventional Pain Medicine Physician
  • Tempe, AZ
National Provider Identifier
1215930862
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
18441 Issued in AZ
Practice address
2152 E Broadway Rd
Suite 1
Tempe, AZ 85282-1751
Phone
(480) 892-5313
Fax
(480) 545-2788
NPI assigned
May 27, 2005
Reactivated
Mar 31, 2006
Last updated
Mar 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 18441 AZ Primary

Addresses

Primary practice location

2152 E Broadway Rd
Suite 1
Tempe, AZ 85282-1751

Mailing address

PO Box 3490
Apache Junction, AZ 85117-4126
Phone (480) 892-5313

Other identifiers 2

IdentifierTypeStateIssuer
049975MedicaidAZ
P00630025OtherAZRAILROAD MEDICARE

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
I20040519000961 AZ Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3779492426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Creighton University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2152 E Broadway Rd
Suite 1
Tempe, AZ 85282-1751
Phone (480) 892-5313

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Hyperbaric Center, LLC CurrentSince Dec 9, 2024 Accepting new patients
Abc Anesthesiologists PLLC PastSince Nov 1, 2011 Accepting new patients

Locations

9923 E Bell Rd
Ste 120
Scottsdale, AZ 85260
Phone (480) 213-3159

Organizations & group practices 3

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1215930862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3490",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851174126",
            "telephone_number": "480-892-5313",
            "fax_number": "480-545-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 E BROADWAY RD",
            "address_2": "SUITE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821751",
            "telephone_number": "480-892-5313",
            "fax_number": "480-545-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHEL",
        "first_name": "KLEE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "18441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049975",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00630025",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.