Individual provider Active NPI

Kevin W. Hubbard, DO

  • Emergency Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1407890601
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2532 Issued in OK
Practice address
11434 E Mission LN
Scottsdale, AZ 85259-5821
Phone
(480) 286-8808
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X F36445 MS
General Practice Physician 208D00000X 005913 AZ
Emergency Medicine Physician 207P00000X 2532 OK Primary

Addresses

Primary practice location

11434 E Mission LN
Scottsdale, AZ 85259-5821

Mailing address

11485 E Pine Valley Rd
Scottsdale, AZ 85255-1891
Phone (480) 286-8808

Other practice location 1

9417 N Council Rd
Oklahoma City, OK 73162-6228
Phone (405) 550-3280

Other practice location 2

300 S Rockwell Ave
Oklahoma City, OK 73128-2222
Phone (405) 951-2277

Other practice location 3

4801 SE 15th St
Del City, OK 73115-3918
Phone (405) 500-3380

Other practice location 4

900 17th St
Woodward, OK 73801-2448
Phone (580) 772-5551

Other practice location 5

4801 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 713-4565

Other practice location 6

200 2nd Ave SW
Miami, OK 74354-6830
Phone (918) 542-6611

Other practice location 7

3391 S I 35 Service Rd
Moore, OK 73160-3191
Phone (405) 500-3330

Other practice location 8

2304 Linfield Ct
Norman, OK 73071-7306
Phone (405) 651-8361

Other identifiers 3

IdentifierTypeStateIssuer
1407890601OtherOKBLUE SHIELD
00124356MedicaidMS
100204600AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AZ2 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

Enrollment IDStateProvider typePAC IDDetails
I20080624000732 OK Practitioner - Emergency Medicine 5395735922 Reassigns benefits to 5 organizations
I20130606000668 AZ Practitioner - Emergency Medicine 5395735922 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ehp of Ponca City LLCGroup PAC ID 1850828948, 21 clinicians
Emergency Services of Oklahoma PCGroup PAC ID 8123209012, 63 clinicians

Practice addresses (Care Compare)

1900 N 14TH St
Ponca City, OK 74601-2035
Phone (580) 765-3321

900 17TH St
Woodward, OK 73801-2448
Phone (580) 256-5511

Hospital & facility affiliations

  • Integris Community Hospital - Council Crossing Hospital, Oklahoma City, OK, CCN 370240
  • Integris Health Ponca City Hospital, Ponca City, OK, CCN 370006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2532OKMDOptometrist
F36445MSMDEmergency Medicine Physician
005913AZMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Physicians Group Arizona PLLC CurrentSince Dec 28, 2021 Accepting new patients
Benson Hospital Corporation CurrentSince Apr 1, 2017 Accepting new patients
Nes Arizona Inc Emergency Medicine Current Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Dec 3, 2024 Accepting new patients
Oklahoma Emergency Physician Partners PLLC Emergency Medicine Current Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Ehp of Ponca City LLC Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Nes Oklahoma, Inc. Emergency Medicine CurrentSince Jun 25, 2022 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Oct 15, 2024 Accepting new patients
Nes Arizona Inc Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Rokem, LLC Emergency Medicine CurrentSince Mar 2, 2024 Accepting new patients
Benson Hospital Corporation CurrentSince Apr 1, 2017 Accepting new patients
Tempe Emergency Physicians, LTD Emergency Medicine CurrentSince Jan 23, 2017 Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients
Wichita Emergency Physicians Emergency Medicine Past Accepting new patients
Integris Health Ponca City Hospital Inc Past Accepting new patients
Pottawatomie Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients
Norstar Emergency Physicians Past Accepting new patients
Integris Health Woodward Hospital Inc Past Accepting new patients
Mountain Vista Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

4455 S I 19 Frontage Rd
Green Valley, AZ 85614
Phone (520) 393-4700

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

4801 SE 15th St
Del City, OK 73115
Phone (405) 500-3380

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

3391 S I 35 Service Rd
Moore, OK 73160
Phone (405) 500-3330

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

300 S Rockwell Ave
Oklahoma City, OK 73128
Phone (405) 500-3430

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

9417 N Council Rd
Oklahoma City, OK 73162
Phone (405) 500-3280

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

7300 State Highway 121
Ste 374
McKinney, TX 75070

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 5

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1407890601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11485 E PINE VALLEY RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852551891",
            "telephone_number": "480-286-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11434 E MISSION LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595821",
            "telephone_number": "480-286-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9417 N Council Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731626228",
            "country_code": "US",
            "telephone_number": "405-550-3280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Rockwell Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731282222",
            "country_code": "US",
            "telephone_number": "405-951-2277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 SE 15th St",
            "address_purpose": "LOCATION",
            "city": "Del City",
            "state": "OK",
            "postal_code": "731153918",
            "country_code": "US",
            "telephone_number": "405-500-3380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 17th St",
            "address_purpose": "LOCATION",
            "city": "Woodward",
            "state": "OK",
            "postal_code": "738012448",
            "country_code": "US",
            "telephone_number": "580-772-5551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Integris Pkwy",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730348864",
            "country_code": "US",
            "telephone_number": "405-713-4565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 2nd Ave SW",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "OK",
            "postal_code": "743546830",
            "country_code": "US",
            "telephone_number": "918-542-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3391 S I 35 Service Rd",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731603191",
            "country_code": "US",
            "telephone_number": "405-500-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2304 Linfield Ct",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730717306",
            "country_code": "US",
            "telephone_number": "405-651-8361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "KEVIN",
        "middle_name": "W.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "F36445",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "005913",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "2532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1407890601",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124356",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100204600A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.