Individual provider Active NPI

Tracey Lynn Knott, D.O.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Tempe, AZ
National Provider Identifier
1699896027
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
006517 Issued in AZ
Practice address
5015 S Arizona Mills Cir
Tempe, AZ 85282-6401
Phone
(480) 539-4000
Fax
(480) 539-7033
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 036.124716 IL
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 006517 AZ Primary

Addresses

Primary practice location

5015 S Arizona Mills Cir
Tempe, AZ 85282-6401

Mailing address

4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042
Phone (602) 264-4834

Other practice location 1

1520 S Dobson Rd Ste 217
Mesa, AZ 85202-4754
Phone (480) 539-4000

Other practice location 2

4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042
Phone (602) 264-4834

Other identifiers 1

IdentifierTypeStateIssuer
937755MedicaidAZ

Other names 1

  • Dr. Tracey Liakos Former name

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
I20141023000777 AZ Practitioner - Otolaryngology 2769529908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
Arizona Otolaryngology Consultants, PCGroup PAC ID 5294621868, 22 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

1520 S Dobson Rd
Suite 217
Mesa, AZ 85202-4754
Phone (480) 539-4000

4530 E Shea Blvd
Suite 180
Phoenix, AZ 85028-6042
Phone (602) 264-4834

5015 S Arizona Mills Cir
Tempe, AZ 85282-6401
Phone (480) 534-4121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.124716ILMDOtolaryngology/Facial Plastic Surgery Physician
006517AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Enticare PC Plastic Surgery Within the Head & Neck CurrentSince Oct 1, 2014 Accepting new patients
Enticare PC Plastic Surgery Within the Head & Neck CurrentSince Feb 18, 2024 Accepting new patients
Arizona Otolaryngology Consultants, PC CurrentSince Apr 14, 2025 Accepting new patients
Enticare PC Plastic Surgery Within the Head & Neck PastSince Feb 18, 2024 Accepting new patients

Locations

1968 N Peart Rd
Ste 20
Casa Grande, AZ 85122

2051 W Chandler Blvd
Ste 5
Chandler, AZ 85224
Phone (480) 672-2964

2730 S Val Vista Dr
Ste 161
Gilbert, AZ 85295
Phone (480) 636-1225

3303 S Lindsay Rd
Ste 124
Gilbert, AZ 85297
Phone 4804854975 ext. 54975

3367 S Mercy Rd
Ste 205A
Gilbert, AZ 85297

3420 S Mercy Rd
Ste 107
Gilbert, AZ 85297
Phone (480) 551-0300

5750 W Thunderbird Rd
Ste A100
Glendale, AZ 85306
Phone (602) 938-3205

17215 N 72nd Dr
Bldg D
Glendale, AZ 85308
Phone (858) 205-5486

1520 S Dobson Rd
Ste 217
Mesa, AZ 85202
Phone (480) 539-4000

19841 N 27th Ave
Ste 301
Phoenix, AZ 85027
Phone (623) 516-8499

4530 E Shea Blvd
Ste 180
Phoenix, AZ 85028
Phone (602) 264-4834

36457 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140

7301 E 2nd St
Ste 308
Scottsdale, AZ 85251
Phone (480) 949-1212

5015 S Arizona Mills Cir
Tempe, AZ 85282
Phone (480) 534-4121

1940 E Southern Ave
Tempe, AZ 85282
Phone (480) 292-8541

Interoperability endpoints

  • Direct secure messaging: tracey.knott.2@24142.direct.athenahealth.com

Organizations & group practices 5

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1699896027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286042",
            "telephone_number": "602-264-4834",
            "fax_number": "602-254-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 S ARIZONA MILLS CIR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826401",
            "telephone_number": "480-539-4000",
            "fax_number": "480-539-7033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 S Dobson Rd Ste 217",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024754",
            "country_code": "US",
            "telephone_number": "480-539-4000",
            "fax_number": "480-539-7033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4530 E Shea Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850286042",
            "country_code": "US",
            "telephone_number": "602-264-4834",
            "fax_number": "602-254-5178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IL",
            "license": "036.124716",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "AZ",
            "license": "006517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "937755",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "LIAKOS",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.