Active NPI
Atsuko Koyama, M.D., M.P.H
- Emergency Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 59533
- 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, 2023
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Pediatrics | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Cep America - Arizona PC | Emergency Medicine | Current | Accepting new patients |
| Jackrabbit Family Medicine Inc | Current | Accepting new patients | |
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| Cep America- Arizona, PC | Emergency Medicine | Current | 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
- akoyama215361@direct.valleywisehealth.org
- 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.
-
- Emergency Medicine Physician
- Chandler, AZ
- NPI 1780202804
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
dba Phoenix Children's Medical Group
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1356021190
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1427258706
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1063459568
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.