Individual provider Active NPI

Karen E Apodaca, MD

  • Family Medicine Physician
  • Cottonwood, AZ
National Provider Identifier
1780669747
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19568 Issued in AZ
Practice address
401 S Calvary Way
Suite B
Cottonwood, AZ 86326-4165
Phone
(928) 634-6369
Fax
(928) 634-6389
NPI assigned
Dec 13, 2005
Last updated
Nov 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19568 AZ Primary

Addresses

Primary practice location

401 S Calvary Way
Suite B
Cottonwood, AZ 86326-4165

Mailing address

401 S Calvary Way
Suite B
Cottonwood, AZ 86326-4165
Phone (928) 634-6369

Other identifiers 3

IdentifierTypeStateIssuer
Z168884OtherAZHUMANITY HEALTH PROVIDERS GROUP PTAN
Z182914OtherAZINDIVIDUAL PTAN
298895MedicaidAZ

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
I20090625000255 AZ Practitioner - Family PracticePractitioner - Internal Medicine 1456402882 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19568AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Humanity Health Providers, LLC Family Medicine CurrentSince Dec 1, 2015 Accepting new patients
Farshid Paydar MD PC PastSince Dec 1, 2015 Accepting new patients
Cardiac Care, P.C. Past Accepting new patients

Locations

401 S Calvary Way
Ste B
Cottonwood, AZ 86326
Phone (928) 634-6369

657 E Cottonwood St
Ste 9
Cottonwood, AZ 86326
Phone (928) 203-4844

6446 State Route 179
Ste 209
Sedona, AZ 86351
Phone (928) 204-4900

Interoperability endpoints

  • Direct secure messaging: kapodaca@hhp.directbygreenway.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1780669747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S CALVARY WAY",
            "address_2": "SUITE B",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264165",
            "telephone_number": "928-634-6369",
            "fax_number": "928-634-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S CALVARY WAY",
            "address_2": "SUITE B",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264165",
            "telephone_number": "928-634-6369",
            "fax_number": "928-634-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APODACA",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "19568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANITY HEALTH PROVIDERS GROUP PTAN",
            "identifier": "Z168884",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "Z182914",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298895",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.