Active NPI
Cloud Anesthesia PLLC
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1477036051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- CLOUD ANESTHESIA PLLC
- Practice address
- 13835 N Tatum Blvd Ste 9339
Phoenix, AZ 85032-0409 - Phone
- (602) 326-4649
- Fax
- (623) 321-1112
- NPI assigned
- Sep 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Akexander Serkey Kim, MD
- Title
- Anesthesiology
- Phone
- (602) 326-4649
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
13835 N Tatum Blvd Ste 9339
Phoenix, AZ 85032-0409
Mailing address
13835 N Tatum Blvd Ste 9339
Phoenix, AZ 85032-0409
Phone (602) 326-4649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200219002544 | AZ | Part B Supplier - Clinic/Group Practice | 5991042111 |
Receives reassigned benefits from 1 practitioner Practice locations: Glendale, AZ; Phoenix, AZ; Scottsdale, AZ |
National Provider Directory
National Provider DirectoryLocations
13835 N Tatum Blvd
Ste 9339
Phoenix, AZ 85032
Phone (602) 326-4649
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536624000000",
"number": "1477036051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13835 N TATUM BLVD STE 9339",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850320409",
"telephone_number": "602-326-4649",
"fax_number": "623-321-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13835 N TATUM BLVD STE 9339",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850320409",
"telephone_number": "602-326-4649",
"fax_number": "623-321-1112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLOUD ANESTHESIA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-11",
"last_updated": "2018-09-11",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "AKEXANDER",
"authorized_official_middle_name": "SERKEY",
"authorized_official_title_or_position": "ANESTHESIOLOGY",
"authorized_official_telephone_number": "602-326-4649",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.