Active NPI
Timothy Kieborz, DO
- Family Medicine Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3836
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 846602 | Medicaid | AZ |
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
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
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
- MD Home Health
- Honorhealth Scottsdale Thompson Peak Med Ctr
- Honorhealth Deer Valley Medical Center
- Honor Health John C. Lincoln Medical Center
- Honorhealth Scottsdale Osborn Medical Center
- Abrazo Arrowhead Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 263 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Group of Arizona Professional Corporation | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Vitality Foot and Ankle Institute PLLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Kieborz PLLC | Family Medicine | Current | 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 | Past | 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.
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1215275433
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Family Medicine Physician
- Gilbert, AZ
- NPI 1962735449
-
- Foot & Ankle Surgery Podiatrist
- Peoria, AZ
- NPI 1538798004
-
- Physical Medicine & Rehabilitation Physician
- Glendale, AZ
- NPI 1740804996
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1114931490
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
-
- Emergency Medicine Physician
- Bullhead City, AZ
- NPI 1376934315
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1841453602
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Phoenix, AZ
- NPI 1588665210
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
-
- Home Health Agency
- Phoenix, AZ
- NPI 1972562460
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.