Individual provider Active NPI

Kenneth Marc Belkoff, DO

  • Urology Physician
  • Tucson, AZ
National Provider Identifier
1760410526
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2683 Issued in AZ
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
106741MedicaidAZ

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
I20070926001041 AZ Practitioner - Urology 7113960618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians
Arizona Urology Specialists PLLCGroup PAC ID 5092863852, 84 clinicians

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

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2683AZMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Dec 31, 2025 Accepting new patients
Arizona Urology Specialists, PLLC Urology CurrentSince Jul 1, 2021 Accepting new patients
Arizona Urology Specialists, PLLC Urology CurrentSince Sep 1, 2022 Accepting new patients
Foothills Urology, PC Urology Current Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Dec 31, 2025 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

  • Direct secure messaging: kenneth.belkoff.1@1576.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.