Individual provider Active NPI

Kendra Williams Drake, M.D.

  • Neurology Physician
  • Tucson, AZ
National Provider Identifier
1780893750
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
42348 Issued in AZ
Practice address
3838 N Campbell Ave, BLDG 2
Clinic E
Tucson, AZ 85719
Phone
(520) 694-8888
Fax
(520) 694-0235
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 42348 AZ Primary

Addresses

Primary practice location

3838 N Campbell Ave, BLDG 2
Clinic E
Tucson, AZ 85719

Mailing address

1501 N Campbell Avenue, 6TH Floor
Department of Neurology, 6TH Floor
Tucson, AZ 85721
Phone (520) 694-8888

Other practice location 1

6567 E Carondelet Dr Ste 305
Tucson, AZ 85710-6160
Phone (520) 881-8400

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
I20100713000340 AZ Practitioner - Neurology 3577695410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Arkansas College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

6567 E Carondelet Dr
Suite 305
Tucson, AZ 85710-6160
Phone (520) 881-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42348AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC CurrentSince Jun 15, 2020 Accepting new patients
Carondelet Medical Group, Inc Past Accepting new patients

Locations

2800 E Ajo Way
Bldg 100
Tucson, AZ 85713
Phone (520) 419-5820

6567 E Carondelet Dr
Ste 305
Tucson, AZ 85710
Phone (520) 881-8400

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

6567 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 296-2454

4892 N Stone Ave
Ste 100
Tucson, AZ 85704
Phone (520) 396-1360

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

Interoperability endpoints

  • Direct secure messaging: kendra.drake.1@600.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1780893750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVENUE, 6TH FLOOR",
            "address_2": "DEPARTMENT OF NEUROLOGY, 6TH FLOOR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85721",
            "telephone_number": "520-694-8888",
            "fax_number": "520-694-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N CAMPBELL AVE, BLDG 2",
            "address_2": "CLINIC E",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85719",
            "telephone_number": "520-694-8888",
            "fax_number": "520-694-0235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6567 E Carondelet Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857106160",
            "country_code": "US",
            "telephone_number": "520-881-8400",
            "fax_number": "520-829-7521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "KENDRA",
        "middle_name": "WILLIAMS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "42348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.