Individual provider Active NPI

Kristin K Lau, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1467433144
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32558 Issued in AZ
Practice address
20940 N Tatum Blvd Ste 300
Phoenix, AZ 85050-7273
Phone
(480) 407-0060
Fax
(480) 607-5809
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32558 AZ Primary

Addresses

Primary practice location

20940 N Tatum Blvd Ste 300
Phoenix, AZ 85050-7273

Mailing address

20940 N Tatum Blvd Ste 300
Phoenix, AZ 85050-7273
Phone (480) 407-0060

Other practice location 1

20940 N Tatum Blvd
Ste 390
Phoenix, AZ 85050-4265
Phone (480) 407-0060

Other identifiers 1

IdentifierTypeStateIssuer
860933MedicaidAZ

Other names 1

  • Kristin K Benson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719001549 AZ Practitioner - Family Practice 5193704476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tiffany Nelson MD PLCGroup PAC ID 9436138708, 10 clinicians

Practice addresses (Care Compare)

20940 N Tatum Blvd
Suite 300
Phoenix, AZ 85050-7273
Phone (480) 607-0060

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32558AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Nelson MD PLC Family Medicine CurrentSince Sep 1, 2004 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

20940 N Tatum Blvd
Ste 300
Phoenix, AZ 85050
Phone (480) 607-0060

20940 N Tatum Blvd
Ste 390
Phoenix, AZ 85050
Phone (480) 407-0060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/29438/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kristin.laumd.p1@direct.desertridgefp.nextgenshare.com
  • Direct secure messaging: kristin.lau.1@29438.direct.athenahealth.com

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 1

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1467433144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507273",
            "telephone_number": "480-407-0060",
            "fax_number": "480-607-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507273",
            "telephone_number": "480-407-0060",
            "fax_number": "480-607-5809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20940 N Tatum Blvd",
            "address_2": "Ste 390",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504265",
            "country_code": "US",
            "telephone_number": "480-407-0060",
            "fax_number": "480-607-5809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAU",
        "first_name": "KRISTIN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "32558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "860933",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "BENSON",
            "middle_name": "K",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.