Individual provider Active NPI

Kimberly Stone, MD

  • Internal Medicine Physician
  • Sun City, AZ
National Provider Identifier
1780644138
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27668 Issued in AZ
Practice address
10705 W Peoria Ave
Sun City, AZ 85351-4061
Phone
(623) 259-6749
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27668 AZ Primary

Addresses

Primary practice location

10705 W Peoria Ave
Sun City, AZ 85351-4061

Mailing address

PO Box 746093
Atlanta, GA 30374-6093
Phone (773) 352-1517

Other practice location 1

13940 W Meeker Blvd Ste 101
Sun City West, AZ 85375-4495
Phone (623) 377-9929

Other identifiers 4

IdentifierTypeStateIssuer
AZ0716570OtherAZBCBS
102113OtherAZMEDICARE-TYPE UNSPECIFIED
110238540OtherAZRR MEDICARE
102147OtherAZMEDICARE-TYPE UNSPECIFIED

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
I20040601001075 AZ Practitioner - Internal Medicine 2769464197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians

Practice addresses (Care Compare)

13030 W Thunderbird Rd
El Mirage, AZ 85335-3256
Phone (623) 505-1081

183 W Apache TRL
Suite B109
Apache Junction, AZ 85120-3425
Phone (480) 618-0945

2850 E Main St
Suite 106
Mesa, AZ 85213-9304
Phone (480) 618-0019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Arizona PLLC Internal Medicine CurrentSince Jun 10, 2024 Accepting new patients
Nova Physician Group PLLC PastSince May 7, 2024 Accepting new patients
Iora Health, LLC Internal Medicine Past Accepting new patients
Iora Health Massachusetts, P.C. Internal Medicine Past Accepting new patients
Richard a. Snider, MD, PC Internal Medicine Past Accepting new patients

Locations

183 W Apache Trl
Ste B109
Apache Junction, AZ 85120
Phone (480) 618-0945

13030 W Thunderbird Rd
El Mirage, AZ 85335
Phone (480) 956-5900

2850 E Main St
Ste 106
Mesa, AZ 85213
Phone (480) 618-0019

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

10705 W Peoria Ave
Sun City, AZ 85351
Phone (623) 259-6749

3820 N Oracle Rd
Tucson, AZ 85705
Phone (520) 200-6707

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1780644138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746093",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746093",
            "telephone_number": "773-352-1517",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 W PEORIA AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853514061",
            "telephone_number": "623-259-6749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13940 W Meeker Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853754495",
            "country_code": "US",
            "telephone_number": "623-377-9929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "KIMBERLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "27668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0716570",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-TYPE UNSPECIFIED",
            "identifier": "102113",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110238540",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-TYPE UNSPECIFIED",
            "identifier": "102147",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.