Individual provider Active NPI

Gary Steven Kauffman, MD

  • Interventional Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1386645489
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
22774 Issued in AZ
Practice address
9250 N. 3Rd Street
Suite 3010
Phoenix, AZ 85020-2425
Phone
(602) 861-1168
Fax
(602) 861-1763
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 22774 AZ
Interventional Cardiology Physician 207RI0011X 22774 AZ Primary

Addresses

Primary practice location

9250 N. 3Rd Street
Suite 3010
Phoenix, AZ 85020-2425

Mailing address

2500 W Utopia Rd
Ste. 100
Phoenix, AZ 85027-4171
Phone (602) 214-6148

Other identifiers 1

IdentifierTypeStateIssuer
186199MedicaidAZ

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
I20040615000274 AZ Practitioner - Cardiovascular Disease (Cardiology) 0648254078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Temple University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

9250 N 3Rd St
Suite 2000
Phoenix, AZ 85020-2403
Phone (602) 861-1168

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince May 6, 2018 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Scottsdale Healthcare Corp CurrentSince May 6, 2018 Accepting new patients
North Phoenix Heart Center Cardiovascular Disease Current Accepting new patients
Honorhealth Ambulatory Cardiovascular Disease Past Accepting new patients

Locations

16222 N 59th Ave
Ste B145
Glendale, AZ 85306
Phone (602) 978-1121

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

9305 W Thomas Rd
Ste 370
Phoenix, AZ 85037
Phone (623) 298-5220

18404 N Tatum Blvd
Ste 201
Phoenix, AZ 85032
Phone (602) 277-6993

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

9250 N 3rd St
Ste 2000
Phoenix, AZ 85020
Phone (602) 246-9080

9250 N 3rd St
Ste 3010
Phoenix, AZ 85020
Phone (623) 238-7750

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Dept 8511
Los Angeles, CA 90084

Interoperability endpoints

  • Direct secure messaging: gkauffman10853@direct.honorhealth.com

Organizations & group practices 5

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 1

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1386645489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "address_2": "STE. 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "602-214-6148",
            "fax_number": "602-214-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N. 3RD STREET",
            "address_2": "SUITE 3010",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202425",
            "telephone_number": "602-861-1168",
            "fax_number": "602-861-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "GARY",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "22774",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "22774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186199",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.