Active NPI
Tracey Lynn Knott, D.O.
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 006517
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 937755 | Medicaid | AZ |
Other names 1
- Dr. Tracey Liakos
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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036.124716 | IL | MD | Otolaryngology/Facial Plastic Surgery Physician |
| 006517 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enticare PC | Plastic Surgery Within the Head & Neck | Current | Accepting new patients |
| Enticare PC | Plastic Surgery Within the Head & Neck | Current | Accepting new patients |
| Arizona Otolaryngology Consultants, PC | Current | Accepting new patients | |
| Enticare PC | Plastic Surgery Within the Head & Neck | Past | 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
- 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.
-
- Specialist
- Phoenix, AZ
- NPI 1679538441
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Chandler, AZ
- NPI 1710014410
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Gilbert, AZ
- NPI 1255196747
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- San Tan Valley, AZ
- NPI 1598520074
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.