Active NPI
Karel A Deleeuw, M.D.
- Oral & Maxillofacial Surgery (D.M.D.)
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 32072
- Practice address
- 1441 N 12TH St FL 3
Phoenix, AZ 85006-2837 - Phone
- (602) 521-5977
- Fax
- (602) 521-5151
- NPI assigned
- Dec 14, 2005
- Last updated
- Jun 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2332 | ND | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | D06081 | AZ | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | PT15017 | ND | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 15017 | ND | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 32072 | AZ | Primary |
| Otolaryngology Physician | 207Y00000X | 32072 | AZ |
Addresses
Primary practice location
1441 N 12TH St FL 3
Phoenix, AZ 85006-2837
Mailing address
34522 N Scottsdale Rd # 404
Scottsdale, AZ 85266-1224
Phone (480) 495-3356
Other practice location 1
5779 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 301-8000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00150696 | Other | AZ | RAILROAD MEDICARE |
| 86080015085259C381 | Other | AZ | TRIWEST |
| 816936 | Medicaid | AZ | |
| MRM5813 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | karel.deleeuw@bannerhealth.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 N 12TH St
FL 2
Phoenix, AZ 85006-2837
Phone (844) 242-4664
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 69.75
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 68.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2332 | ND | MD | Oral and Maxillofacial Surgery (Dentist) |
| D06081 | AZ | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| PT15017 | ND | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients |
Locations
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1441 N 12th St
Fl 2
Phoenix, AZ 85006
Phone (602) 521-5180
1441 N 12th St
Fl 2AND3
Phoenix, AZ 85006
1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700
Interoperability endpoints
- kareldeleeuw@normd.allscriptsdirect.net
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1437529245
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1225013022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34522 N SCOTTSDALE RD # 404",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852661224",
"telephone_number": "480-495-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 N 12TH ST FL 3",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062837",
"telephone_number": "602-521-5977",
"fax_number": "602-521-5151"
}
],
"practiceLocations": [
{
"address_1": "5779 E Mayo Blvd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "85054",
"country_code": "US",
"telephone_number": "480-301-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELEEUW",
"first_name": "KAREL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "ND",
"license": "2332",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "AZ",
"license": "D06081",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "ND",
"license": "PT15017",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "ND",
"license": "15017",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "AZ",
"license": "32072",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "32072",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00150696",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "86080015085259C381",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "816936",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MRM5813",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "karel.deleeuw@bannerhealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1441 N 12th St Fl 3",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850062837",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.