Individual provider Active NPI

Kevin S Hirsch, MD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1891784849
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
33259 Issued in AZ
Practice address
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone
(602) 239-4601
Fax
(602) 239-3075
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 33259 AZ Primary

Addresses

Primary practice location

1111 E McDowell Rd
Phoenix, AZ 85006-2612

Mailing address

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 239-4601

Other identifiers 2

IdentifierTypeStateIssuer
886913OtherAZAHCCCS
84772OtherAZURL

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
I20041020001086 AZ Practitioner - Diagnostic Radiology 9133180474 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interventional Services Group PLLCGroup PAC ID 5597238592, 9 clinicians
Vascular and Interventional Partners PLLCGroup PAC ID 9739587775, 25 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

22455 N Miller Rd
Suite B100
Scottsdale, AZ 85255-4956
Phone (480) 435-9100

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33259AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Cancer Center Specialists LLC CurrentSince Sep 1, 2011 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2012 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jan 1, 2016 Accepting new patients
Vascular and Interventional Partners PLLC Vascular & Interventional Radiology CurrentSince May 13, 2022 Accepting new patients
Banner - University Physician Specialists LLC Current Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2012 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince May 1, 2012 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Sep 1, 2011 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology PastSince Apr 20, 2021 Accepting new patients
Banner Imaging Associates PLC Diagnostic Radiology Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

10825 W McDowell Rd
Ste 202
Avondale, AZ 85392
Phone (480) 435-9100

20751 W Market St
Buckeye, AZ 85396
Phone (623) 463-5000

1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

155 E Warner Rd
Gilbert, AZ 85296
Phone (480) 649-6600

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

5310 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 978-0892

9780 S Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 474-8101

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

1917 S Crismon Rd
Mesa, AZ 85209
Phone (480) 610-7100

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-4498

1012 E Willetta St
Fl 4
Phoenix, AZ 85006
Phone (602) 239-6073

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142
Phone (480) 512-3700

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

37100 N Gantzel Rd
Ste 107
San Tan Vly, AZ 85140
Phone (480) 394-4480

22455 N Miller Rd
Ste B100
Scottsdale, AZ 85255
Phone (480) 435-9100

13995 W Statler Blvd
Surprise, AZ 85374
Phone (623) 478-3100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDIFCD

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1891784849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "602-239-4601",
            "fax_number": "602-239-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "602-239-4601",
            "fax_number": "602-239-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "KEVIN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "33259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "886913",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "URL",
            "identifier": "84772",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.