Individual provider Active NPI

Rita Kilgore, MD

  • Pediatrics Physician
  • Sierra Vista, AZ
National Provider Identifier
1861472516
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
22504 Issued in AZ
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
199449MedicaidAZ

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
I20040412001054 AZ Practitioner - Pediatric Medicine 3375537525

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Dec 3, 2012 Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Dec 3, 2012 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.

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

Verify at the official NPI Registry.