Active NPI
Kenneth Marc Belkoff, DO
- Urology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2683
- Practice address
- 5670 N Professional Park Dr
Suite 100
Tucson, AZ 85704-7878 - Phone
- (520) 618-1010
- Fax
- (520) 784-7040
- NPI assigned
- Jun 29, 2006
- Last updated
- Oct 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2683 | AZ | Primary |
Addresses
Primary practice location
5670 N Professional Park Dr
Suite 100
Tucson, AZ 85704-7878
Mailing address
4811 E Grant Rd
Ste 261
Tucson, AZ 85712-2776
Phone (520) 618-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106741 | Medicaid | AZ |
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
- Urology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone (520) 543-6100
5670 N Professional Park Dr
Suite 100
Tucson, AZ 85704-7821
Phone (520) 618-1010
6060 N Fountain Plaza Dr
Tucson, AZ 85704-7873
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 469-8100
6320 N la Cholla Blvd
Suite 300
Tucson, AZ 85741-3552
Phone (520) 545-0953
8333 N Silverbell Rd
Suite 161
Tucson, AZ 85743-7371
Phone (520) 202-7770
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2683 | AZ | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Allied Physicians LLC | Current | Accepting new patients | |
| Arizona Urology Specialists, PLLC | Urology | Current | Accepting new patients |
| Arizona Urology Specialists, PLLC | Urology | Current | Accepting new patients |
| Foothills Urology, PC | Urology | Current | Accepting new patients |
| Northwest Allied Physicians, LLC | Current | Accepting new patients | |
| Center for Pain Management, LLC | Past | Accepting new patients |
Locations
2530 E Southern Ave
Mesa, AZ 85204
Phone (480) 834-4188
1521 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 784-1293
1521 E Tangerine Rd
Ste 209
Oro Valley, AZ 85755
Phone (520) 545-0573
2260 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 742-9777
5670 N Professional Park Dr
Tucson, AZ 85704
Phone (520) 618-6445
5670 N Professional Park Dr
Ste 100
Tucson, AZ 85704
6060 N Fountain Plaza Dr
Ste 250
Tucson, AZ 85704
Phone (520) 229-9019
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
6320 N La Cholla Blvd
Ste 300
Tucson, AZ 85741
Phone (520) 545-0953
6325 E Tanque Verde Rd
Tucson, AZ 85715
Phone (602) 795-5830
7470 N Oracle Rd
Ste 250
Tucson, AZ 85704
Phone (520) 317-5015
8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770
Interoperability endpoints
- kenneth.belkoff.1@1576.direct.athenahealth.com
- kennethbelkoff@fu.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Urology Physician
- Phoenix, AZ
- NPI 1740426485
-
- General Practice Physician
- Tucson, AZ
- NPI 1003833179
-
- Urology Physician
- Tucson, AZ
- NPI 1356410666
-
- Durable Medical Equipment & Medical Supplies
- Oro Valley, AZ
- NPI 1821302910
-
- Urology Physician
- Golden, CO
- NPI 1780617795
-
dba TUCSON UROLOGIC SURGERY CENTER (Oracle Rd)
- Ambulatory Surgical Clinic/Center
- Tucson, AZ
- NPI 1154016350
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
-
dba Northwest Medical Center
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
-
dba Oro Valley Hospital
- General Acute Care Hospital
- Oro Valley, AZ
- NPI 1386697688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1760410526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4811 E GRANT RD",
"address_2": "STE 261",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122776",
"telephone_number": "520-618-1010",
"fax_number": "520-784-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5670 N PROFESSIONAL PARK DR",
"address_2": "SUITE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857047878",
"telephone_number": "520-618-1010",
"fax_number": "520-784-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELKOFF",
"first_name": "KENNETH",
"middle_name": "MARC",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "2683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106741",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.