Robert Scott Kinkade, M .D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

26410 Issued in AZ

Practice address

651 W Mingus Ave
Suite 1D
Cottonwood, AZ 86326-4006

Phone

(928) 649-1000

Fax

(928) 649-3929

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

General Surgery

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banner Physician Specialists Arizona LLCGroup PAC ID 6204002272, 371 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Ironwood Medical Center Hospital, Queen Creek, AZ, CCN 030130
• Banner Goldfield Medical Center Hospital, Apache Junction, AZ, CCN 030134

Merit-based Incentive Payment System (MIPS)

Final score

84.12 of 100Reported as group

Quality

76.35

Promoting interoperability

99

Improvement activities

40

Cost

71.55

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Banner Physician Specialists Arizona LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1821368218
  Medicare reassignment Care Compare group
• R. Scott Kinkade MD PC

  • Specialist
  • Cottonwood, AZ
  • NPI 1427265628
  NPD (past) Authorized official
• Banner Physician Specialists Arizona LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1316228802
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Goldfield Medical Center

  • General Acute Care Hospital
  • Apache Junction, AZ
  • NPI 1932543428
  Care Compare affiliation
• Banner Ironwood Medical Center

  • General Acute Care Hospital
  • Queen Creek, AZ
  • NPI 1124341672
  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255360889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 W. MINGUS AVE, STE 1D",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "86326",
            "telephone_number": "928-649-1000",
            "fax_number": "928-649-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 W MINGUS AVE",
            "address_2": "SUITE 1D",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264006",
            "telephone_number": "928-649-1000",
            "fax_number": "928-649-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINKADE",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "credential": "M .D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "26410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442153",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "AZ0863930",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID NUMB",
            "identifier": "020046038",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Joy Kindig Stahl, DO
• Katherine Lynne Kindt, DDS
• Alicia Christina King, DMD
• Deborah Eve King, LCSW
• Michael King, MA
• Trudy S Kirkley, LCSW
• Brennan T Kitchen, PT, DPT
• KM Corporation
• Nicole Friece Knust, RN, MSN, FNP-BC
• Margaret F. Kobe, M.D.

• Surgery Physician in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.