Individual provider Active NPI

Kevin James Hooker, MD

  • Obstetrics Physician
  • Lake Havasu City, AZ
National Provider Identifier
1477764595
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
37930 Issued in AZ
Practice address
2130 Mesquite Ave Unit 100
Lake Havasu City, AZ 86403-6897
Phone
(928) 302-5100
Fax
(928) 302-5103
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 37930 AZ Primary

Addresses

Primary practice location

2130 Mesquite Ave Unit 100
Lake Havasu City, AZ 86403-6897

Mailing address

2130 Mesquite Ave Unit 100
Lake Havasu City, AZ 86403-6897
Phone (928) 302-5100

Other identifiers 1

IdentifierTypeStateIssuer
07047MedicaidLA

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
I20130913000220 AZ Practitioner - Obstetrics/Gynecology 0143380006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Perinatal Services LLCGroup PAC ID 1658505011, 61 clinicians

Practice addresses (Care Compare)

2130 Mesquite Ave
Unit 100
Lake Havasu City, AZ 86403-6897
Phone (928) 302-5100

2620 N 3Rd St
Suite 103
Phoenix, AZ 85004-1153
Phone (480) 756-6000

Hospital & facility affiliations

  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37930AZMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Havasu OB-GYN Care LLC Obstetrics & Gynecology CurrentSince May 1, 2013 Accepting new patients
Valley Perinatal Services, LLC Obstetrics & Gynecology CurrentSince Dec 1, 2025 Accepting new patients
Fetal and Women'S Center of Arizona, LLC Past Accepting new patients
Havasu Regional Medical Center LLC Past Accepting new patients

Locations

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

5605 W Eugie Ave
Ste 111
Glendale, AZ 85304
Phone (480) 306-8195

2130 Mesquite Ave
Unit 100
Lk Havasu Cty, AZ 86403
Phone (928) 302-5100

2620 N 3rd St
Ste 103
Phoenix, AZ 85004
Phone (480) 610-6152

9440 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 551-9700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4

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.

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1477764595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 MESQUITE AVE UNIT 100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036897",
            "telephone_number": "928-302-5100",
            "fax_number": "928-302-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MESQUITE AVE UNIT 100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036897",
            "telephone_number": "928-302-5100",
            "fax_number": "928-302-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOKER",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AZ",
            "license": "37930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07047",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.