Kenneth A Epstein, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

19589 Issued in AZ

Practice address

1338 W Forest Meadows St
Suite 140
Flagstaff, AZ 86001-7218

Phone

(928) 213-8631

Fax

(928) 213-8632

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFIEAA

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.

• Tuba City Regional Health Care Corporation

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  TX

  Medicare reassignment NPD
• Tuba City Regional Health Care Corporation

  • Family Medicine Physician
  • Kykotsmovi, AZ
  • NPI 1396921870
  NPD
• Tuba City Regional Health Care Corporation

  • Family Medicine Physician
  • Bodaway Gap, AZ
  • NPI 1710519913
  NPD
• Ryan Internal Medicine PC

  • Internal Medicine Physician
  • Flagstaff, AZ
  • NPI 1033225024
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1366415036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 W FOREST MEADOWS ST",
            "address_2": "SUITE 140",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017218",
            "telephone_number": "928-213-8631",
            "fax_number": "928-213-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 W FOREST MEADOWS ST",
            "address_2": "SUITE 140",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017218",
            "telephone_number": "928-213-8631",
            "fax_number": "928-213-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "AZ",
            "license": "19589",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "19589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296964",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney A Engel, M.D.
• Susan Michelle Englebert, DNP, WHNP-BC, CNM
• Janice Enloe, AGPCNP
• Erin Marie Enlow, PA-C
• Caryn Jene Epperson, AG-ACNP
• Equine Educational Experiences
• Jennifer Ernst, M.A. CCC-SLP
• Erin Ann Erwin-Mahlios, ED. D.
• Marlenne Adair Escobar-Mendoza
• Julia Beth Eskuchen, M.D.

• Rheumatology Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Rheumatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.