NPIMap

Organization Active NPI

Livwell Health LLC

  • Rheumatology Physician
  • Scottsdale, AZ
National Provider Identifier
1811527732
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
LIVWELL HEALTH LLC
Practice address
8541 E Anderson Dr Ste 104
Scottsdale, AZ 85255-5430
Phone
(602) 688-2248
NPI assigned
Jan 20, 2020
Last updated
Nov 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Kelly Kain
Title
Coo
Phone
(406) 788-2298

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

8541 E Anderson Dr Ste 104
Scottsdale, AZ 85255-5430

Mailing address

8541 E Anderson Dr Ste 104
Scottsdale, AZ 85255-5430
Phone (602) 688-2248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200831002515 AZ Part B Supplier - Clinic/Group Practice 1052738440 Receives reassigned benefits from 11 practitioners
Practice locations: Tucson, AZ; Scottsdale, AZ; Prescott, AZ; Phoenix, AZ; Goodyear, AZ; Mesa, AZ; Chandler, AZ; Gilbert, AZ…
O20250723001619 HI Part B Supplier - Clinic/Group Practice 1052738440 Receives reassigned benefits from 2 practitioners
Practice locations: Mililani, HI

National Provider Directory

National Provider Directory

Locations

525 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 773-2280

13430 N Saguaro Blvd
Ste 100
Fountain Hills, AZ 85268
Phone (480) 445-9199

3530 S Val Vista Dr
Ste 208
Gilbert, AZ 85297

14122 W McDowell Rd
Ste 202
Goodyear, AZ 85395

2331 Hualapai Mountain Rd
Ste A
Kingman, AZ 86401
Phone (928) 529-5086

4838 E Baseline Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 632-8919

5440 E Southern Ave
Ste 103
Mesa, AZ 85206

2001 W Orange Grove Rd
Ste 302
Tucson, AZ 85704
Phone (480) 282-6599

95-1249 Meheula Pkwy
Ste 187
Mililani, HI 96789
Phone (808) 282-6362

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1811527732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 E ANDERSON DR STE 104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555430",
            "telephone_number": "602-688-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 E ANDERSON DR STE 104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555430",
            "telephone_number": "602-688-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVWELL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-20",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "KAIN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "406-788-2298"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.