Active NPI
Kenneth D Paige, DO
- Family Medicine Physician
- Sun Lakes, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3169
- Practice address
- 10450 E Riggs Rd #114
Sun Lakes, AZ 85248-7760 - Phone
- (480) 505-2450
- Fax
- (480) 505-2465
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Sun Lakes, AZ
- NPI 1952392581
AZ, Family Medicine
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1568116291
AZ, Family Medicine
-
- Adult Medicine Physician
- Sun Lakes, AZ
- NPI 1568641314
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tempe, AZ
- NPI 1124393947
-
- Home Health Agency
- Chandler, AZ
- NPI 1831678218
-
- Home Health Agency
- Phoenix, AZ
- NPI 1477547123
-
- Home Health Agency
- Phoenix, AZ
- NPI 1982798823
-
- Home Health Agency
- Chandler, AZ
- NPI 1699440073
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Nova Southeastern College of Osteo Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Access Wellness Resources
Practice addresses (Care Compare)
10450 E Riggs Rd
Suite 114
Sun Lakes, AZ 85248-7760
Phone (480) 505-2450
3501 N Scottsdale Rd
Suite 231
Scottsdale, AZ 85251-5649
Phone (855) 893-5637
Hospital & facility affiliations
- Dignity Health at Home
- Thema Health Services
- A Plus Home Health Services, LLC
- Meridian Healthcare Providers, Inc.
- Sweetheart Healthcare LLC
- Chandler Regional Medical Center
- Mercy Gilbert Medical Center
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060718000223 | AZ | Practitioner - Family Practice | 9436144938 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23169 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Lakes Family Physicians LLC | Family Medicine | Current | Accepting new patients |
| Access Wellness Resources | Family Medicine | Current | Accepting new patients |
| Sun Lakes Health Care, PC | Past | Accepting new patients |
Locations
3501 N Scottsdale Rd
Ste 231
Scottsdale, AZ 85251
Phone (480) 945-3873
10450 E Riggs Rd
Ste 114
Sun Lakes, AZ 85248
Phone (480) 505-2450
Interoperability endpoints
- kenneth.paige.1@27041.direct.athenahealth.com
- https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3169 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
10450 E Riggs Rd #114
Sun Lakes, AZ 85248-7760
Mailing address
10450 E Riggs Rd #114
Sun Lakes, AZ 85248-7760
Phone (480) 505-2450
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z65318 | Other | AZ | MEDICARE PROVIDER NUMBER |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2022.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1487645685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10450 E RIGGS RD #114",
"city": "SUN LAKES",
"state": "AZ",
"postal_code": "852487760",
"telephone_number": "480-505-2450",
"fax_number": "480-505-2465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10450 E RIGGS RD #114",
"city": "SUN LAKES",
"state": "AZ",
"postal_code": "852487760",
"telephone_number": "480-505-2450",
"fax_number": "480-505-2465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIGE",
"first_name": "KENNETH",
"middle_name": "D",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "3169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "Z65318",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun Lakes, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.