Individual provider Active NPI

Elias S Kakish, MD

  • Pulmonary Disease Physician
  • Tucson, AZ
National Provider Identifier
1346495892
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
48870 Issued in AZ
Practice address
2055 W Hospital Dr
Ste 205
Tucson, AZ 85704-7892
Phone
(520) 575-6944
Fax
(520) 575-1115
NPI assigned
Nov 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01066045A IN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01066045A IN
Pulmonary Disease Physician 207RP1001X 01066045A IN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 01066045A IN
Pulmonary Disease Physician 207RP1001X 48870 AZ Primary

Addresses

Primary practice location

2055 W Hospital Dr
Ste 205
Tucson, AZ 85704-7892

Mailing address

2055 W Hospital Dr
Ste 205
Tucson, AZ 85704-7892
Phone (520) 575-6944

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elias.kakish.1@1576.direct.athenahealth.com Direct

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
I20150120001097 AZ Practitioner - Pulmonary Disease 1052462140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

2055 W Hospital Dr
Suite 205
Tucson, AZ 85704-7822
Phone (520) 575-6944

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01066045AINMDInternal Medicine Physician
48870AZMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince Apr 1, 2022 Accepting new patients
Northwest Allied Physicians LLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Arizona Community Surgeons PC CurrentSince Feb 1, 2021 Accepting new patients
Valley ENT, PC Past Accepting new patients

Locations

1521 E Tangerine Rd
Ste 291
Oro Valley, AZ 85755
Phone (520) 219-4450

1551 E Tangerine Rd
Ste 239
Oro Valley, AZ 85755

2055 W Hospital Dr
Ste 205
Tucson, AZ 85704
Phone (520) 575-6944

4539 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 750-7255

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

1951 N Wilmot Rd
Bldg 4
Tucson, AZ 85712
Phone (520) 318-1114

2250 N Craycroft Rd
Tucson, AZ 85712
Phone (520) 232-1019

6506 E Carondelet Dr
Bldg A
Tucson, AZ 85710
Phone (520) 885-6717

Interoperability endpoints

  • Direct secure messaging: elias.kakish.1@1576.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1346495892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 W HOSPITAL DR",
            "address_2": "STE 205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047892",
            "telephone_number": "520-575-6944",
            "fax_number": "520-575-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 W HOSPITAL DR",
            "address_2": "STE 205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047892",
            "telephone_number": "520-575-6944",
            "fax_number": "520-575-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKISH",
        "first_name": "ELIAS",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-25",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01066045A",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01066045A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01066045A",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01066045A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "48870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elias.kakish.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2055 W Hospital Dr",
            "address_2": "Ste 205",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857047892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.