Active NPI
Kimberly A Bader, MD
- Internal Medicine Physician
- Tempe, AZ
National Provider Identifier
1245223833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34858
- Practice address
- 2600 E Southern Ave
Suite B2
Tempe, AZ 85282-7745 - Phone
- (480) 827-5265
- Fax
- (480) 684-6603
- NPI assigned
- Aug 30, 2005
- Sex
- Female
- 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 | 34858 | AZ | Primary |
Addresses
Primary practice location
2600 E Southern Ave
Suite B2
Tempe, AZ 85282-7745
Mailing address
2600 E Southern Ave
Suite B2
Tempe, AZ 85282-7745
Phone (480) 827-5265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 985020-01 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34858 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1245223833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 E SOUTHERN AVE",
"address_2": "SUITE B2",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827745",
"telephone_number": "480-827-5265",
"fax_number": "480-684-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 E SOUTHERN AVE",
"address_2": "SUITE B2",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827745",
"telephone_number": "480-827-5265",
"fax_number": "480-684-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADER",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "34858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "985020-01",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.