Individual provider Active NPI

Katherine Taylor Chuang, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1336376359
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R71526 Issued in AZ
Practice address
1300 N 12TH St
605
Phoenix, AZ 85006-2848
Phone
(602) 239-4567
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R71526 AZ Primary

Addresses

Primary practice location

1300 N 12TH St
605
Phoenix, AZ 85006-2848

Mailing address

1300 N 12TH St
605
Phoenix, AZ 85006-2848
Phone (602) 239-4567

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
I20130129000272 AZ Practitioner - Family Practice 9739333774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Outreach Access to HealthGroup PAC ID 3577743764, 107 clinicians

Practice addresses (Care Compare)

20440 N 27TH Ave
Phoenix, AZ 85027-3240
Phone (480) 882-4545

9015 N 3Rd St
Phoenix, AZ 85020-2444
Phone (480) 882-4545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R71526AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Outreach Access to Health Family Medicine CurrentSince Oct 5, 2015 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Oct 5, 2015 Accepting new patients

Locations

11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001

11851 N 51st Ave
Ste B110
Glendale, AZ 85304

9015 N 3rd St
Phoenix, AZ 85020

20440 N 27th Ave
Phoenix, AZ 85027

15833 N 29th St
Phoenix, AZ 85032
Phone (602) 449-2811

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

16251 N Cave Creek Rd
Phoenix, AZ 85032

9201 N 5th St
Phoenix, AZ 85020
Phone (602) 331-5817

1300 N 48th St
Phoenix, AZ 85008
Phone (480) 882-5917

7301 E 2nd St
Ste 210
Scottsdale, AZ 85251
Phone (480) 534-4515

8705 E McDowell Rd
Scottsdale, AZ 85257

Interoperability endpoints

  • Direct secure messaging: kchuang607508@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1336376359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "605",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-239-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "605",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-239-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUANG",
        "first_name": "KATHERINE",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R71526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.