Individual provider Active NPI

Kristin Kaye Kaus, M.D.

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1528023850
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24903 Issued in AZ
Practice address
15420 N 32ND Dr
Phoenix, AZ 85053-3927
Phone
(602) 866-1974
Fax
(602) 375-3949
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24903 AZ Primary

Addresses

Primary practice location

15420 N 32ND Dr
Phoenix, AZ 85053-3927

Mailing address

15420 N 32ND Dr
Phoenix, AZ 85053-3927
Phone (602) 866-1974

Other identifiers 1

IdentifierTypeStateIssuer
376807MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24903AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Cloinic for Children Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1528023850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15420 N 32ND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533927",
            "telephone_number": "602-866-1974",
            "fax_number": "602-375-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15420 N 32ND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533927",
            "telephone_number": "602-866-1974",
            "fax_number": "602-375-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUS",
        "first_name": "KRISTIN",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "24903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376807",
            "state": "AZ"
        }
    ],
    "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 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.