KMS MD PC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

45249 Issued in AZ

Legal business name

KMS MD PC

Practice address

5350 E Deer Valley Dr Unit 4275
Phoenix, AZ 85054-4167

Phone

(858) 337-2452

NPI assigned

Oct 15, 2012

Organization subpart

No

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

Authorized official

Name

Kareem Shaarawy, M.D.NPI 1588811970

Title

President

Phone

(858) 337-2452

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kareem Shaarawy, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1588811970
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1669724696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 E DEER VALLEY DR UNIT 4275",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850544167",
            "telephone_number": "858-337-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 E DEER VALLEY DR UNIT 4275",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850544167",
            "telephone_number": "858-337-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "SHAARAWY",
        "authorized_official_first_name": "KAREEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-337-2452",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "CA",
            "license": "A120807",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "45249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura E Klusovsky, P.A.-C.
• Kma Surgical Assist LLC
• KMF Care Group, LLC
• KMM Health Center LLC
• KMS Dental LLC
• Kmsa Testing
• Kimberly Irene Knaff
• Melanie Knall, LPC
• Knapp Neuropsychology
• Amy L Knapp, PSY.D., NCSP

• Sports Medicine (Family Medicine) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Sports Medicine (Family Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.