Individual provider Active NPI

David F Kipp, MD

  • Pediatrics Physician
  • Mesa, AZ
National Provider Identifier
1528048287
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
14028 Issued in AZ
Practice address
1840 S Stapley Dr
Mesa, AZ 85204-6681
Phone
(480) 464-8500
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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 14028 AZ Primary

Addresses

Primary practice location

1840 S Stapley Dr
Mesa, AZ 85204-6681

Mailing address

1840 S Stapley Dr
Mesa, AZ 85204-6681
Phone (480) 464-8500

Other identifiers 1

IdentifierTypeStateIssuer
171231MedicaidAZ

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
I20170307002400 AZ Practitioner - Pediatric Medicine 3678857851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Colorado School of Medicine, Denver, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

3160 E Queen Creek Rd
Gilbert, AZ 85297-8403
Phone (480) 827-5790

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Services, LLC CurrentSince Jun 1, 2023 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Jun 1, 2023 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jan 22, 2017 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Jun 1, 2023 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Jun 1, 2023 Accepting new patients
Banner Urgent Care Arizona LLC Current Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Jan 22, 2017 Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

3160 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 827-5790

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

5735 E McKellips Rd
Ste 101
Mesa, AZ 85215
Phone (480) 718-6444

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

4760 E Thunderbird Rd
Ste 1
Phoenix, AZ 85032
Phone (480) 827-5590

25500 N Norterra Dr
Phoenix, AZ 85085
Phone (602) 328-8400

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

Organizations & group practices 8

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1528048287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046681",
            "telephone_number": "480-464-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046681",
            "telephone_number": "480-464-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPP",
        "first_name": "DAVID",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "14028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171231",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.