Organization Active NPI

Cloud Anesthesia PLLC

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1477036051
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
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

Updated by the provider on Sep 11, 2018

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.