Active NPI
Alexander Serkey Kim, M.D.
- Anesthesiology Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35924
- Practice address
- 6644 E Baywood Ave
Mesa, AZ 85206-1747 - Phone
- (480) 225-0495
- NPI assigned
- Mar 15, 2007
- Last updated
- Nov 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35924 | AZ | Primary |
Addresses
Primary practice location
6644 E Baywood Ave
Mesa, AZ 85206-1747
Mailing address
10831 E Onyx CT
Scottsdale, AZ 85259-4866
Phone (480) 225-0495
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Camelback Anesthesia PLLC | Current | Accepting new patients | |
| Alex Kim MD PC | Anesthesiology | Current | Accepting new patients |
| Abc Anesthesiologists PLLC | Anesthesiology | Past | Accepting new patients |
Locations
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
13835 N Tatum Blvd
Ste 9339
Phoenix, AZ 85032
Phone (602) 326-4649
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
2421 E Southern Ave
Ste 7
Tempe, AZ 85282
Phone (480) 832-3600
Interoperability endpoints
- gehakim@yourcarecommunity.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Camelback Pain Consultants
- Pain Medicine (Anesthesiology) Physician
- Tempe, AZ
- NPI 1831560176
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1477036051
-
- Anesthesiology Physician
- Tempe, AZ
- NPI 1831711829
-
dba Red Mountain Anesthesiologists
- Anesthesiology Physician
- Mesa, AZ
- NPI 1184662884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1629102033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10831 E ONYX CT",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852594866",
"telephone_number": "480-225-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6644 E BAYWOOD AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852061747",
"telephone_number": "480-225-0495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ALEXANDER",
"middle_name": "SERKEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "35924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.