Individual provider Active NPI

Kaelyn Zakrajsek

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Phoenix, AZ
National Provider Identifier
1427712983
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
9171 Issued in AZ
Practice address
2222 E Highland Ave Ste 300
Phoenix, AZ 85016-4879
Phone
(602) 277-6211
NPI assigned
Oct 29, 2021
Reactivated
May 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 9171 AZ Primary

Addresses

Primary practice location

2222 E Highland Ave Ste 300
Phoenix, AZ 85016-4879

Mailing address

2222 E Highland Ave Ste 300
Phoenix, AZ 85016-4879
Phone (401) 444-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14201 Dallas Pkwy
Dallas, TX 75254-2916

525 W Brown Rd
Mesa, AZ 85201-3202

PO Box
Suite 741742
Los Angeles, CA 90074

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Toca at Banner Health LLC Sports Medicine CurrentSince Feb 1, 2024 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jun 30, 2022 Accepting new patients

Locations

18700 N 64th Dr
Ste 220
Glendale, AZ 85308

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

2222 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (602) 483-6165

9377 E Bell Rd
Ste 231
Scottsdale, AZ 85260
Phone (602) 313-1549

5002 S Mill Ave
Ste 101
Tempe, AZ 85282

Organizations & group practices 2

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 2

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": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1427712983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164879",
            "telephone_number": "401-444-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164879",
            "telephone_number": "602-277-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKRAJSEK",
        "first_name": "KAELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "deactivation_date": "2026-03-30",
        "reactivation_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "9171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.