Organization Active NPI

Bka PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Tucson, AZ
National Provider Identifier
1841160272
Registry record updated Nov 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
BKA PLLC
Practice address
5210 E Pima St Ste 200
Tucson, AZ 85712-3678
Phone
(937) 935-7461
Fax
(208) 848-5116
NPI assigned
Nov 10, 2025
Last updated
Nov 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2026

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

Authorized official

Name
Kimberley Sue Fahle, FNP-CNPI 1356052161
Title
Owner
Phone
(937) 935-7461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

5210 E Pima St Ste 200
Tucson, AZ 85712-3678

Mailing address

PO Box 69010
Tucson, AZ 85737-0009
Phone (937) 935-7461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260331003119 AZ Part B Supplier - Clinic/Group Practice 0345725073 Receives reassigned benefits from 1 practitioner
Practice locations: Oro Valley, AZ

National Provider Directory

National Provider Directory

Locations

11900 N La Canada Dr
Unit 69010
Tucson, AZ 85737
Phone (937) 935-7461

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793491200000",
    "number": "1841160272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69010",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857370009",
            "telephone_number": "937-935-7461",
            "fax_number": "208-848-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 E PIMA ST STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123678",
            "telephone_number": "937-935-7461",
            "fax_number": "208-848-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2026-11-01",
        "certification_date": "2026-11-01",
        "status": "A",
        "authorized_official_last_name": "FAHLE",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-935-7461",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2026; 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.