Individual provider Active NPI

Adam Kravietz, MD, MPH

  • Otolaryngology Physician
  • Mesa, AZ
National Provider Identifier
1417444571
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
72584 Issued in AZ
Practice address
1520 S Dobson Rd Ste 217
Mesa, AZ 85202-4754
Phone
(480) 539-4000
Fax
(480) 539-7033
NPI assigned
Apr 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 46121 AL
Otolaryngology Physician 207Y00000X 72584 AZ Primary

Addresses

Primary practice location

1520 S Dobson Rd Ste 217
Mesa, AZ 85202-4754

Mailing address

4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042
Phone (602) 264-4834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, 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
I20230726001825 AL Practitioner - Otolaryngology 1153782958 Reassigns benefits to 1 organization
I20240805002188 AZ Practitioner - Otolaryngology 1153782958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Miami, LM Miller School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
Arizona Otolaryngology Consultants, PCGroup PAC ID 5294621868, 22 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

1520 S Dobson Rd
Suite 217
Mesa, AZ 85202-4754
Phone (480) 539-4000

19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400

4530 E Shea Blvd
Suite 180
Phoenix, AZ 85028-6042
Phone (602) 264-4834

5015 S Arizona Mills Cir
Tempe, AZ 85282-6401
Phone (480) 534-4121

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122

Merit-based Incentive Payment System (MIPS)

Final score
79.69 of 100Reported as group
Quality
73.68
Improvement activities
40
Cost
67.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46121ALMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2023 Accepting new patients
Arizona Otolaryngology Consultants, PC CurrentSince Aug 15, 2024 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

5750 W Thunderbird Rd
Ste A100
Glendale, AZ 85306
Phone (602) 938-3205

1520 S Dobson Rd
Ste 217
Mesa, AZ 85202
Phone (480) 539-4000

1520 S Dobson Rd
Ste 127
Mesa, AZ 85202

4530 E Shea Blvd
Ste 180
Phoenix, AZ 85028
Phone (602) 264-4834

5015 S Arizona Mills Cir
Tempe, AZ 85282
Phone (480) 534-4121

Interoperability endpoints

  • Direct secure messaging: akravietz@direct.uabmedicine.org
  • Direct secure messaging: adam.kravietz.1@24142.direct.athenahealth.com

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.

Hospital & facility affiliations 8

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": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1417444571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286042",
            "telephone_number": "602-264-4834",
            "fax_number": "602-254-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S DOBSON RD STE 217",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024754",
            "telephone_number": "480-539-4000",
            "fax_number": "480-539-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVIETZ",
        "first_name": "ADAM",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-15",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "46121",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "72584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.