Active NPI
Philip C. Kaczar, M.D.
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 26301
- Practice address
- 9801 N Metro Pkwy E
Phoenix, AZ 85051-1513 - Phone
- (602) 249-0115
- Fax
- (602) 249-0838
- NPI assigned
- May 11, 2006
- Last updated
- Nov 19, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 26301 | AZ | Primary |
Addresses
Primary practice location
9801 N Metro Pkwy E
Phoenix, AZ 85051-1513
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 838-8265
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
- Internal Medicine
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5830 N 19TH Ave
Phoenix, AZ 85015-2494
Phone (602) 336-1966
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26301 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients |
Locations
1501 S Yale St
Ste 150
Flagstaff, AZ 86001
Phone (928) 527-4325
2001 N 4th St
Flagstaff, AZ 86004
Phone (928) 526-5020
5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115
8041 N Black Canyon Hwy
Phoenix, AZ 85021
Phone (602) 249-0115
8041 N Black Canyon Hwy
Ste I
Phoenix, AZ 85021
9801 N Metro Pkwy E
Phoenix, AZ 85051
Phone (602) 249-0115
Interoperability endpoints
- pkaczar113912@westdirect.optum.com
Organizations & group practices 2
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.
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1790581742
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
dba St. Josephs Hospital and Medical Center Emergency Dept-Litchfield Park
- Emergency Care Clinic/Center
- Litchfield Park, AZ
- NPI 1265065445
Hospital
-
dba St. Josephs Hospital and Medical Center Emergency Dept-Glendale
- Emergency Care Clinic/Center
- Glendale, AZ
- NPI 1609408665
Hospital
-
dba St. Joseph's Hospital and Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
dba St. Joseph's Westgate Medical Center
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1235189077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-838-8265",
"fax_number": "702-804-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 N METRO PKWY E",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850511513",
"telephone_number": "602-249-0115",
"fax_number": "602-249-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACZAR",
"first_name": "PHILIP",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "26301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 19, 2024; 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.