Active NPI
Irene K Taw, MD
- Radiation Oncology Physician
- Glendale, AZ
National Provider Identifier
1891760294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 26257
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 418774 | Other | AZ | AHCCCS |
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
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26257 | AZ | MD | Radiological Physics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Arizona LLC | Radiation Oncology | Current | 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
- 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.
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Radiation Oncology
-
- Specialist
- Tucson, AZ
- NPI 1578587671
-
- Radiation Oncology Physician
- Phoenix, AZ
- NPI 1972628675
-
- Radiation Oncology Physician
- Scottsdale, AZ
- NPI 1124337407
-
- Radiation Oncology Physician
- Phoenix, AZ
- NPI 1770736324
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.
- 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.