Individual provider Active NPI

Kelly F England, M.D.

  • Pediatrics Physician
  • Mesa, AZ
National Provider Identifier
1679563282
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25334 Issued in AZ
Practice address
1450 S Dobson Rd
Suite B220
Mesa, AZ 85202-4712
Phone
(480) 615-2010
Fax
(480) 899-4550
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25334 AZ Primary

Addresses

Primary practice location

1450 S Dobson Rd
Suite B220
Mesa, AZ 85202-4712

Mailing address

1450 S Dobson Rd Ste B220
Mesa, AZ 85202-4745
Phone (480) 827-5044

Other identifiers 1

IdentifierTypeStateIssuer
095762MedicaidAZ

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
I20040511001246 AZ Practitioner - Pediatric Medicine 2264421478 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Childrens Banner Health Clinic LLC CurrentSince Feb 1, 2013 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Childrens Banner Health Clinic LLC CurrentSince Feb 1, 2013 Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients

Locations

1075 S Idaho Rd
Ste 206
Apache Junction, AZ 85119
Phone (480) 827-5005

1811 E McMurray Blvd
Casa Grande, AZ 85122
Phone (520) 374-2090

1760 E Florence Blvd
Ste 100
Casa Grande, AZ 85122
Phone (520) 374-6505

7400 S Power Rd
Ste 140
Gilbert, AZ 85297
Phone (480) 590-1442

3493 S Mercy Rd
Bldg 15
Gilbert, AZ 85297
Phone (480) 827-5042

3921 E Baseline Rd
Ste 102
Gilbert, AZ 85234
Phone (480) 615-2010

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

1450 S Dobson Rd
Ste B220
Mesa, AZ 85202
Phone (480) 827-5044

1220 S Higley Rd
Ste 101
Mesa, AZ 85206
Phone (480) 615-2010

2152 S Vineyard
Ste B129
Mesa, AZ 85210
Phone (480) 827-5043

8405 E Baseline Rd
Ste 107
Mesa, AZ 85209
Phone (480) 936-7722

1300 S Country Club Dr
Ste 3
Mesa, AZ 85210
Phone (480) 827-5500

1950 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (480) 557-7474

117 E Main St
Ste A100
Payson, AZ 85541
Phone (928) 474-1714

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

37100 N Gantzel Rd
Ste 201
San Tan Vly, AZ 85140
Phone (480) 394-4469

14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1679563282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S DOBSON RD STE B220",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024745",
            "telephone_number": "480-827-5044",
            "fax_number": "480-827-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S DOBSON RD",
            "address_2": "SUITE B220",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024712",
            "telephone_number": "480-615-2010",
            "fax_number": "480-899-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLAND",
        "first_name": "KELLY",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "25334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095762",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.