Active NPI
Rita Kilgore, MD
- Pediatrics Physician
- Sierra Vista, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 22504
- Practice address
- 155 Calle Portal Ste 700
Sierra Vista, AZ 85635-2973 - Phone
- (520) 459-0203
- Fax
- (520) 364-4261
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 22504 | AZ | Primary |
Addresses
Primary practice location
155 Calle Portal Ste 700
Sierra Vista, AZ 85635-2973
Mailing address
1205 F Ave
Douglas, AZ 85607-1920
Phone (520) 364-6852
Other practice location 1
7287 E Earll Dr
Building D
Scottsdale, AZ 85251-7230
Phone (480) 840-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199449 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040412001054 | AZ | Practitioner - Pediatric Medicine | 3375537525 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients |
Locations
5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600
1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000
2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500
3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492
8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260
8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400
433 W Broadway Rd
Tempe, AZ 85282
Phone (480) 968-7835
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1245338235
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1942371679
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1073626404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1861472516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 F AVE",
"city": "DOUGLAS",
"state": "AZ",
"postal_code": "856071920",
"telephone_number": "520-364-6852",
"fax_number": "520-364-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CALLE PORTAL STE 700",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352973",
"telephone_number": "520-459-0203",
"fax_number": "520-364-4261"
}
],
"practiceLocations": [
{
"address_1": "7287 E Earll Dr",
"address_2": "Building D",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852517230",
"country_code": "US",
"telephone_number": "480-840-0800",
"fax_number": "480-840-0801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILGORE",
"first_name": "RITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "22504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199449",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.