Active NPI
Kenneth R Hofstetter, M.D.
- Nuclear Radiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- 6321
- Practice address
- 11209 N Tatum Blvd
Suite # 110
Phoenix, AZ 85028-3091 - Phone
- (602) 248-8002
- Fax
- (602) 248-8399
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 6321 | AZ | |
| Nuclear Radiology Physician | 2085N0904X | 6321 | AZ | Primary |
Addresses
Primary practice location
11209 N Tatum Blvd
Suite # 110
Phoenix, AZ 85028-3091
Mailing address
PO Box 14687
Scottsdale, AZ 85267-4687
Phone (480) 991-8100
Other practice location 1
13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone (623) 882-1500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244947 | Other | AZ | AHCCCS |
| 1Z7049 | Other | AZ | HEALTHNET |
| AZ0324990 | Other | AZ | BCBS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Ohio State University College of Medicine, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13677 W McDowell Rd
West Valley Hospital
Goodyear, AZ 85338-2635
Phone (602) 674-6506
18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (832) 915-2534
1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (832) 915-2534
4338 E Keim Dr
Paradise Valley, AZ 85253-3913
Phone (832) 915-2534
6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534
Hospital & facility affiliations
- Abrazo Arrowhead Hospital
- Abrazo West Campus
- Abrazo Scottsdale Campus
- Abrazo Central Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06321 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980
1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729
1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
3630 W Tangerine Rd
Ste 100
Marana, AZ 85658
Phone (520) 744-3206
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400
7895 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 543-6770
4001 E Sunrise Dr
Tucson, AZ 85718
Phone (520) 209-7000
1625 N Campbell Ave
Tucson, AZ 85719
3870 W River Rd
Tucson, AZ 85741
Phone (520) 219-6616
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.
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
-
- Diagnostic Radiology Physician
- Sun City, AZ
- NPI 1770139958
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1477537363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1891753091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14687",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852674687",
"telephone_number": "480-991-8100",
"fax_number": "480-922-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11209 N TATUM BLVD",
"address_2": "SUITE # 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283091",
"telephone_number": "602-248-8002",
"fax_number": "602-248-8399"
}
],
"practiceLocations": [
{
"address_1": "13677 W McDowell Rd",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853952635",
"country_code": "US",
"telephone_number": "623-882-1500",
"fax_number": "623-882-1912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFSTETTER",
"first_name": "KENNETH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2026-07-13",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "6321",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "AZ",
"license": "6321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "244947",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1Z7049",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0324990",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.