Individual provider Active NPI

Atsuko Koyama, M.D., M.P.H

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1730387564
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
59533 Issued in AZ
Practice address
4141 N 32ND St Ste 105
Phoenix, AZ 85018-4775
Phone
(602) 279-2337
NPI assigned
Jul 3, 2007
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 59533 AZ Primary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 59533 AZ

Addresses

Primary practice location

4141 N 32ND St Ste 105
Phoenix, AZ 85018-4775

Mailing address

4141 N 32ND St Ste 105
Phoenix, AZ 85018-4775

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
I20191223000726 AZ Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 3072601590 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Emergency Medicine CurrentSince Oct 31, 2019 Accepting new patients
District Medical Group, Inc Pediatrics CurrentSince Oct 31, 2019 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Cep America - Arizona PC Emergency Medicine CurrentSince Sep 12, 2023 Accepting new patients
Jackrabbit Family Medicine Inc CurrentSince Sep 5, 2023 Accepting new patients
Phoenix Children's Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Cep America- Arizona, PC Emergency Medicine CurrentSince Sep 12, 2023 Accepting new patients
Phoenix Children's Hospital Pediatrics Current Accepting new patients
Boston University Obstetrics and Gynecology Foundation, Inc. Past Accepting new patients

Locations

1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005

19007 N 67th Ave
Glendale, AZ 85308
Phone (602) 933-0777

20325 N 51st Ave
Ste 116
Glendale, AZ 85308
Phone (602) 933-0003

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

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

9319 E Cadence Pkwy
Mesa, AZ 85212
Phone (602) 933-3400

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

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

4141 N 32nd St
Ste 105
Phoenix, AZ 85018
Phone (602) 279-2337

6990 E Shea Blvd
Ste 104
Scottsdale, AZ 85254

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Interoperability endpoints

  • Direct secure messaging: akoyama215361@direct.valleywisehealth.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1730387564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 N 32ND ST STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 N 32ND ST STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184775",
            "telephone_number": "602-279-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOYAMA",
        "first_name": "ATSUKO",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "59533",
            "primary": true
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "AZ",
            "license": "59533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.