Individual provider Active NPI

Christopher M Kellogg, MD

  • Hematology & Oncology Physician
  • Chandler, AZ
National Provider Identifier
1740254457
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
23612 Issued in AZ
Practice address
695 S Dobson Rd
Chandler, AZ 85224-5665
Phone
(480) 821-2838
Fax
(480) 821-9444
NPI assigned
Feb 17, 2006
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 23612 AZ Primary

Addresses

Primary practice location

695 S Dobson Rd
Chandler, AZ 85224-5665

Mailing address

PO Box 6423
Chandler, AZ 85246-6423

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
I20050823000523 AZ Practitioner - Hematology/Oncology 1951332691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Wayne State University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ironwood Physicians PCGroup PAC ID 3577454842, 115 clinicians

Practice addresses (Care Compare)

695 S Dobson Rd
Chandler, AZ 85224-5665
Phone (480) 821-2838

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.2 of 100Reported as subgroup
Quality
95.99
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23612AZMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Physicians, PC Hematology & Oncology CurrentSince Oct 1, 2002 Accepting new patients
Ironwood Physicians, PC Hematology & Oncology CurrentSince Oct 1, 2002 Accepting new patients
Arizona Oncology Associates PC Internal Medicine Past Accepting new patients
Icrc, P.C. Hematology & Oncology PastSince Jul 27, 2010 Accepting new patients

Locations

1875 W Frye Rd
Chandler, AZ 85224
Phone (480) 728-3701

685 S Dobson Rd
Chandler, AZ 85224
Phone (480) 324-5220

695 S Dobson Rd
Chandler, AZ 85224
Phone (480) 821-2823

3645 S Rome St
Ste 209
Gilbert, AZ 85297
Phone (480) 890-7705

3855 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 245-6288

6111 E Arbor Ave
Mesa, AZ 85206
Phone (480) 981-1326

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1740254457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245665",
            "telephone_number": "480-821-2838",
            "fax_number": "480-821-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "23612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.