Individual provider Active NPI

Irene K Taw, MD

  • Radiation Oncology Physician
  • Glendale, AZ
National Provider Identifier
1891760294
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
26257 Issued in AZ
Practice address
6525 W Sack Dr Ste 105
Glendale, AZ 85308-7106
Phone
(623) 888-5400
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiological Physics Physician 2085R0205X 26257 AZ
Radiation Oncology Physician 2085R0001X 26257 AZ Primary

Addresses

Primary practice location

6525 W Sack Dr Ste 105
Glendale, AZ 85308-7106

Mailing address

PO Box 910221
Dallas, TX 75391-0221
Phone (520) 519-7700

Other identifiers 1

IdentifierTypeStateIssuer
418774OtherAZAHCCCS

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
I20090108000676 AZ Practitioner - Radiation Oncology 2961565528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Oncology Associates PCGroup PAC ID 9638067911, 42 clinicians
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians

Practice addresses (Care Compare)

3188 N Windsong Dr a
Prescott Valley, AZ 86314-1220
Phone (928) 775-9430

5430 Landmark LN
Prescott, AZ 86301-0019
Phone (928) 775-9430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26257AZMDRadiological Physics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Arizona LLC Radiation Oncology CurrentSince Mar 9, 2026 Accepting new patients
Radiation Oncologists of Central Arizona Radiation Oncology Past Accepting new patients
Arizona Oncology Services Inc Radiation Oncology Past Accepting new patients
Integrated Oncology Network PLLC Radiation Oncology Past Accepting new patients

Locations

5430 Landmark Ln
Prescott, AZ 86301
Phone (928) 775-9430

Interoperability endpoints

  • Direct secure messaging: irene.taw@directaddress.net

Organizations & group practices 5

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1891760294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910221",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753910221",
            "telephone_number": "520-519-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 W SACK DR STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087106",
            "telephone_number": "623-888-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAW",
        "first_name": "IRENE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "AZ",
            "license": "26257",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "26257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "418774",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.