Individual provider Active NPI

Kara S. Tiffany, M.D.

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1710063672
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
26155 Issued in AZ
Practice address
5425 E Bell Rd
Suite 131
Scottsdale, AZ 85254-6007
Phone
(602) 404-2020
Fax
(602) 374-3177
NPI assigned
Oct 31, 2006
Last updated
Nov 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 26155 AZ Primary

Addresses

Primary practice location

5425 E Bell Rd
Suite 131
Scottsdale, AZ 85254-6007

Mailing address

5425 E Bell Rd
Suite 131
Scottsdale, AZ 85254-6007
Phone (602) 404-2020

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
I20180509000521 AZ Practitioner - Pediatric Medicine 6709140262 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26155AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children's Medical Group CurrentSince May 1, 2018 Accepting new patients
Phoenix Children's Medical Group CurrentSince May 1, 2018 Accepting new patients
Phoenix Children's Hospital Pediatrics Current Accepting new patients

Locations

5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1710063672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD",
            "address_2": "SUITE 131",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546007",
            "telephone_number": "602-404-2020",
            "fax_number": "602-374-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD",
            "address_2": "SUITE 131",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546007",
            "telephone_number": "602-404-2020",
            "fax_number": "602-374-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFANY",
        "first_name": "KARA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "26155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.