NPIMap

Individual provider Active NPI

Philip L Ku, M.D.

  • Internal Medicine Physician
  • Sun Lakes, AZ
National Provider Identifier
1376558775
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28134 Issued in AZ
Practice address
10440 E Riggs Rd
Ste 160
Sun Lakes, AZ 85248-7751
Phone
(480) 895-7600
Fax
(480) 895-7601
NPI assigned
Jul 31, 2006
Last updated
Jul 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 28134 AZ Primary

Addresses

Primary practice location

10440 E Riggs Rd
Ste 160
Sun Lakes, AZ 85248-7751

Mailing address

10440 E Riggs Rd
Ste 160
Sun Lakes, AZ 85248-7751
Phone (480) 895-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006001145 AZ Practitioner - Internal Medicine 1254390156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Utah School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Internal Medicine, PLLCGroup PAC ID 0244468981, 2 clinicians

Practice addresses (Care Compare)

10450 E Riggs Rd
Suite 110
Sun Lakes, AZ 85248-7759
Phone 4808957600212

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28134AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Snider, MD, PC Internal Medicine Past Accepting new patients

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1376558775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 E RIGGS RD",
            "address_2": "STE 160",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487751",
            "telephone_number": "480-895-7600",
            "fax_number": "480-895-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 E RIGGS RD",
            "address_2": "STE 160",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487751",
            "telephone_number": "480-895-7600",
            "fax_number": "480-895-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KU",
        "first_name": "PHILIP",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "28134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Lakes, AZ

Sources for this page

Verify at the official NPI Registry.