Active NPI
Jeffrey A McKenna, M.D.
- Otolaryngology Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 20965
- Practice address
- 2081 W Frye Rd Ste 100
Chandler, AZ 85224-6278 - Phone
- (480) 753-1459
- Fax
- (480) 753-5311
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 20965 | AZ | Primary |
Addresses
Primary practice location
2081 W Frye Rd Ste 100
Chandler, AZ 85224-6278
Mailing address
9097 E Desert Cove Ave Ste 200
Scottsdale, AZ 85260-6280
Phone (480) 061-4540
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152538 | Medicaid | AZ | |
| AZ0866580 | Other | AZ | BC PROVIDER ID |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051018000005 | AZ | Practitioner - Otolaryngology | 1759307945 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Arizona College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0930
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.58 of 100
- Quality
- 71.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Current | Accepting new patients | |
| Northern Arizona Ear Nose and Throat PC | Otolaryngology | Past | Accepting new patients |
Locations
3370 S Mercy Rd
Ste 108
Gilbert, AZ 85297
2045 S Vineyard
Ste 137
Mesa, AZ 85210
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
1920 E Cambridge Ave
Ste 201
Phoenix, AZ 85006
Phone (602) 254-5561
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
Interoperability endpoints
- jeffrey.mckenna@1028.chartlogic.direct-ci.com
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1679703441
-
- Otolaryngology Physician
- Flagstaff, AZ
- NPI 1558449900
Otolaryngology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1609812296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 E DESERT COVE AVE STE 200",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606280",
"telephone_number": "480-061-4540",
"fax_number": "480-753-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2081 W FRYE RD STE 100",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246278",
"telephone_number": "480-753-1459",
"fax_number": "480-753-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "JEFFREY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2025-04-03",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "20965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152538",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC PROVIDER ID",
"identifier": "AZ0866580",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.