Individual provider Active NPI

Erin Kloos, M.D.

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1255743779
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
59038 Issued in AZ
Practice address
925 E McDowell Rd FL 2
Phoenix, AZ 85006-2502
Phone
(602) 839-3339
Fax
(602) 839-3300
NPI assigned
Jun 2, 2014
Last updated
Aug 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 59038 AZ Primary

Addresses

Primary practice location

925 E McDowell Rd FL 2
Phoenix, AZ 85006-2502

Mailing address

16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Phone (602) 996-4747

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
I20190911000050 AZ Practitioner - General Surgery 8820366958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arizona College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Surgical Clinics, LTDGroup PAC ID 3577549021, 13 clinicians

Practice addresses (Care Compare)

16601 N 40TH St
Suite 204
Phoenix, AZ 85032-3356
Phone (602) 996-4747

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)25
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59038AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth CurrentSince Jun 25, 2021 Accepting new patients
Honorhealth Surgery CurrentSince Jun 25, 2021 Accepting new patients
Valley Surgical Clinics, LTD Surgery CurrentSince Aug 30, 2019 Accepting new patients

Locations

16601 N 40th St
Ste 204
Phoenix, AZ 85032
Phone (602) 633-3721

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

6036 N 19th Ave
Ste 208
Phoenix, AZ 85015
Phone (480) 896-9888

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

Interoperability endpoints

  • Direct secure messaging: erinkloos@vsc.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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1255743779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323356",
            "telephone_number": "602-996-4747",
            "fax_number": "602-953-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E MCDOWELL RD FL 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062502",
            "telephone_number": "602-839-3339",
            "fax_number": "602-839-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOOS",
        "first_name": "ERIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "59038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.