Active NPI
Lee Alan Kimball, M.D.
- Anesthesiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 44353
- Practice address
- 1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4527 - Phone
- (602) 262-8900
- Fax
- (602) 262-8890
- NPI assigned
- Jun 9, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 81506 | AZ | |
| Anesthesiology Physician | 207L00000X | 44353 | AZ | Primary |
Addresses
Primary practice location
1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4527
Mailing address
1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4527
Phone (602) 262-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 657361 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4605 E Elwood St
Suite 500
Phoenix, AZ 85040-1978
Phone (602) 200-9021
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44353 | AZ | MD | Anesthesiology Physician |
| 81506 | AZ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Spine and Joint Hospital LLC | Current | Accepting new patients | |
| Scottsdale Surgical Partners LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Partners of Arizona LLC | Anesthesiology | Current | Accepting new patients |
| Valley Anesthesiology Consultants, Inc. | Anesthesiology | Current | Accepting new patients |
Locations
501 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 440-4610
1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098
4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443
645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917
750 N 40th St
Phoenix, AZ 85008
Phone (602) 797-7700
1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
8901 E Raintree Dr
Ste 100
Scottsdale, AZ 85260
Phone (480) 676-2100
Interoperability endpoints
- leekimball@asjh.medalliesdirect.net
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Scottsdale, AZ
- NPI 1396232559
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285660704
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Phoenix, AZ
- NPI 1124163530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1437319985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 N CENTRAL AVE",
"address_2": "SUITE 1600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044527",
"telephone_number": "602-262-8900",
"fax_number": "602-262-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 N CENTRAL AVE",
"address_2": "SUITE 1600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044527",
"telephone_number": "602-262-8900",
"fax_number": "602-262-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBALL",
"first_name": "LEE",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-09",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "81506",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "44353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "657361",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.