Kenneth O Anaeme, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30256 Issued in AZ

Practice address

2600 E Southern Ave Ste F2
Tempe, AZ 85282-7626

Phone

(480) 625-4704

NPI assigned

Feb 14, 2006

Last updated

Mar 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Navajo Health Foundation-Sage Memorial Hospital, Inc.Group PAC ID 2163332347, shared by 3 NPIs, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sage Memorial Hospital Hospital, Ganado, AZ, CCN 031309

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kenneth O Anaeme LLC

  • Internal Medicine Physician
  • Tempe, AZ
  • NPI 1033270723
  Medicare reassignment NPD Authorized official
• Aleracare Aic LLC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1124735063
  Medicare reassignment NPD
• Navajo Health Foundation-Sage Memorial Hospital, Inc.

  dba Sage Memorial Physicians

  • Rural Acute Care Hospital
  • Ganado, AZ
  • NPI 1477735777
  Medicare reassignment NPD
• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075

  TX

  Medicare reassignment NPD
• Wound Care Associates LLC

  dba The Wound Care Clinics of Arizona

  • Specialist
  • Tempe, AZ
  • NPI 1386113538
  NPD Authorized official
• Navajo Health Foundation-Sage Memorial Hospital Inc

  dba Sage Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Ganado, AZ
  • NPI 1518957398
  NPD
• San Carlos Apache Healthcare Corporation

  dba Clarence Wesley Health Center

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713
  NPD
• Arizona Specialty Physicians

  • Multi-Specialty Clinic/Center
  • Gilbert, AZ
  • NPI 1922049634
  NPD (past)
• Avondale Urgent Care LLC

  dba NextCare

  • Urgent Care Clinic/Center
  • Avondale, AZ
  • NPI 1134185671
  NPD (past)
• Chandler Urgent Care LLC

  dba NextCare

  • Urgent Care Clinic/Center
  • Chandler, AZ
  • NPI 1881650471
  NPD (past)
• Dana Landing Urgent Care LLC

  dba NextCare

  • Urgent Care Clinic/Center
  • Mesa, AZ
  • NPI 1770549214
  NPD (past)
• Desert Ridge Urgent Care LLC

  dba NextCare

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1861458309
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Navajo Health Foundation-Sage Memorial Hospital Inc

  dba Sage Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Ganado, AZ
  • NPI 1518957398
  Care Compare affiliation

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1386618650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11773",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480013",
            "telephone_number": "480-907-7707",
            "fax_number": "480-907-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE STE F2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827626",
            "telephone_number": "480-625-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAEME",
        "first_name": "KENNETH",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "30256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699027",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "30256",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.