Individual provider Active NPI

Timothy Kieborz, DO

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1629010202
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3836 Issued in AZ
Practice address
3303 S Lindsay Rd Ste 123
Gilbert, AZ 85297-2100
Phone
(480) 821-9339
Fax
(480) 821-9555
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 3836 AZ
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 3836 AZ
Family Medicine Physician 207Q00000X 3836 AZ Primary

Addresses

Primary practice location

3303 S Lindsay Rd Ste 123
Gilbert, AZ 85297-2100

Mailing address

6722 N 10TH Ave
Phoenix, AZ 85013-1008
Phone (602) 251-8714

Other identifiers 1

IdentifierTypeStateIssuer
846602MedicaidAZ

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
I20040811001001 AZ Practitioner - Emergency Medicine 2860464633 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Group of Arizona Professional CorporationGroup PAC ID 1355596644, 102 clinicians
Vitality Foot and Ankle Institute PLLCGroup PAC ID 9739501958, 2 clinicians
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

18701 N 67TH Ave
Glendale, AZ 85308-7101
Phone (602) 561-1000

26900 N Lake Pleasant Pkwy
Suite 202
Peoria, AZ 85383-1558
Phone (623) 254-7111

3805 E Bell Rd
Suite 1100
Phoenix, AZ 85032-2153
Phone (602) 819-9434

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-4000

Hospital & facility affiliations

  • Scottsdale Healthcare Home Health Home health agency, Scottsdale, AZ, CCN 037024
  • MD Home Health Home health agency, Phoenix, AZ, CCN 037132
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue263
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Group of Arizona Professional Corporation CurrentSince Feb 1, 2013 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Apr 25, 2018 Accepting new patients
Vitality Foot and Ankle Institute PLLC CurrentSince Sep 11, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Apr 25, 2018 Accepting new patients
Kieborz PLLC Family Medicine CurrentSince Sep 15, 2009 Accepting new patients
Tempe Emergency Physicians, LTD Past Accepting new patients
Honorhealth Ambulatory Past Accepting new patients
Emergency Physicians Professional Association LTD Past Accepting new patients
VHS Acquisition Subsidiary Number 1 Inc PastSince Sep 15, 2009 Accepting new patients

Locations

3303 S Lindsay Rd
Ste 123
Gilbert, AZ 85297
Phone (480) 821-9339

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960

26900 N Lake Pleasant Pkwy
Ste 202
Peoria, AZ 85383
Phone (623) 254-7111

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

19636 N 27th Ave
Ste 201
Phoenix, AZ 85027
Phone (623) 516-4400

9202 N 2nd St
Phoenix, AZ 85020
Phone (480) 583-0500

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3805 E Bell Rd
Ste 1100
Phoenix, AZ 85032
Phone (602) 819-9434

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Organizations & group practices 10

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 8

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1629010202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 N 10TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131008",
            "telephone_number": "602-251-8714",
            "fax_number": "602-251-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S LINDSAY RD STE 123",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972100",
            "telephone_number": "480-821-9339",
            "fax_number": "480-821-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEBORZ",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AZ",
            "license": "3836",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "AZ",
            "license": "3836",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "846602",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.