Individual provider Active NPI

Kim I Josen, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
National Provider Identifier
1639141070
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
28220 Issued in AZ
Practice address
3370 N. Hayden Rd
# 123-407
Scottsdale, AZ 85251
Phone
(480) 947-1130
Fax
(480) 947-1132
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 28220 AZ Primary

Addresses

Primary practice location

3370 N. Hayden Rd
# 123-407
Scottsdale, AZ 85251

Mailing address

3370 N. Hayden Rd
#123-407
Scottsdale, AZ 85251
Phone (480) 947-1130

Other identifiers 1

IdentifierTypeStateIssuer
520305MedicaidAZ

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
I20051121000298 AZ Practitioner - Internal Medicine 0941229884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scottsdale Pulmonary and Critical Care LLCGroup PAC ID 3375876758, 13 clinicians

Practice addresses (Care Compare)

7301 E 2ND St
Suite 315
Scottsdale, AZ 85251-5627
Phone (480) 994-9838

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28220AZMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Pulmonary and Critical Care, LLC Critical Care Medicine CurrentSince Sep 1, 2019 Accepting new patients
Honorhealth Past Accepting new patients
Pulmonary Associates, PA PastSince Jul 12, 1999 Accepting new patients

Locations

7301 E 2nd St
Ste 315
Scottsdale, AZ 85251
Phone (480) 947-7711

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19484/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 1

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1639141070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 N. HAYDEN RD",
            "address_2": "#123-407",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "480-947-1130",
            "fax_number": "480-947-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 N. HAYDEN RD",
            "address_2": "# 123-407",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "480-947-1130",
            "fax_number": "480-947-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEN",
        "first_name": "KIM",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "28220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520305",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.