Individual provider Active NPI

Kevin Ranum, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1881014918
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53925 Issued in AZ
Practice address
9225 N 3Rd St Ste 300
Phoenix, AZ 85020-2466
Phone
(602) 445-0751
Fax
(602) 424-8128
NPI assigned
Apr 16, 2014
Sex
Male
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
Internal Medicine Physician 207R00000X 53925 AZ Primary

Addresses

Primary practice location

9225 N 3Rd St Ste 300
Phoenix, AZ 85020-2466

Mailing address

9225 N 3Rd St Ste 300
Phoenix, AZ 85020-2466
Phone (602) 445-0751

Other identifiers 1

IdentifierTypeStateIssuer
271542MedicaidAZ

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
I20170626001760 AZ Practitioner - Internal Medicine 5991073470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Toledo Medical College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Hospitalists PLCGroup PAC ID 6204822869, 84 clinicians

Practice addresses (Care Compare)

16640 N 38TH St
Ridgecrest Healthcare
Phoenix, AZ 85032-2100
Phone (602) 482-6671

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.58 of 100Reported as individual
Quality
91.31
Improvement activities
0
Cost
79.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Hospitalists, PLC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients

Locations

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

9225 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 870-1821

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000

Organizations & group practices 1

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 5

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881014918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202466",
            "telephone_number": "602-445-0751",
            "fax_number": "602-424-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202466",
            "telephone_number": "602-445-0751",
            "fax_number": "602-424-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANUM",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "53925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271542",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.