Active NPI
Jeffrey David Kirkpatrick, M.D.
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1376596254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 19503
- Practice address
- 1818 E Sky Harbor Cir N Ste 150
Phoenix, AZ 85034-3410 - Phone
- (480) 238-5778
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10153958-1205 | UT | |
| Pediatrics Physician | 208000000X | 19503 | AZ | |
| Internal Medicine Physician | 207R00000X | 19503 | AZ | Primary |
Addresses
Primary practice location
1818 E Sky Harbor Cir N Ste 150
Phoenix, AZ 85034-3410
Mailing address
1716 W Dawn Dr
Tempe, AZ 85284-1214
Phone (480) 223-8925
Other practice location 1
1735 S Redwood Rd Ste 115
Salt Lake City, UT 84104-5107
Phone (801) 973-4434
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10153958-1205 | UT | MD | Internal Medicine Physician |
| 19503 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler Regional Medical Center | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1780873307
-
- Emergency Care Clinic/Center
- Chandler, AZ
- NPI 1871910968
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1376596254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 W DAWN DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841214",
"telephone_number": "480-223-8925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 E SKY HARBOR CIR N STE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850343410",
"telephone_number": "480-238-5778"
}
],
"practiceLocations": [
{
"address_1": "1735 S Redwood Rd Ste 115",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841045107",
"country_code": "US",
"telephone_number": "801-973-4434",
"fax_number": "801-973-4414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "JEFFREY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "10153958-1205",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "19503",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "19503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.