Active NPI
Kevin W. Hubbard, DO
- Emergency Medicine Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2532
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407890601 | Other | OK | BLUE SHIELD |
| 00124356 | Medicaid | MS | |
| 100204600A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Integris Health Ponca City
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2532 | OK | MD | Optometrist |
| F36445 | MS | MD | Emergency Medicine Physician |
| 005913 | AZ | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceptional Physicians Group Arizona PLLC | Current | Accepting new patients | |
| Benson Hospital Corporation | Current | Accepting new patients | |
| Nes Arizona Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| Oklahoma Emergency Physician Partners PLLC | Emergency Medicine | Current | Accepting new patients |
| Green Valley Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Ehp of Ponca City LLC | Emergency Medicine | Current | Accepting new patients |
| Nes Oklahoma, Inc. | Emergency Medicine | Current | Accepting new patients |
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Nes Arizona Inc | Emergency Medicine | Current | Accepting new patients |
| Rokem, LLC | Emergency Medicine | Current | Accepting new patients |
| Benson Hospital Corporation | Current | Accepting new patients | |
| Tempe Emergency Physicians, LTD | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Ponca City, OK
- NPI 1881419802
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Critical Access Hospital
- Benson, AZ
- NPI 1336118322
-
- Emergency Medical Services (Emergency Medicine) Physician
- Maricopa, AZ
- NPI 1447910229
-
- Emergency Medicine Physician
- Benson, AZ
- NPI 1205217700
-
- Emergency Medicine Physician
- Bullhead City, AZ
- NPI 1376934315
-
- Emergency Medicine Physician
- Ponca City, OK
- NPI 1528040722
-
- Emergency Medicine Physician
- Woodward, OK
- NPI 1538856091
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
-
- Rural Health Clinic/Center
- Vail, AZ
- NPI 1457924920
-
- Emergency Medicine Physician
- Fort Mohave, AZ
- NPI 1285163121
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1194209155
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1336623198
-
- General Acute Care Hospital
- Moore, OK
- NPI 1447734272
-
- General Acute Care Hospital
- Del City, OK
- NPI 1942784715
-
- General Acute Care Hospital
- Ponca City, OK
- NPI 1548047616
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.