Individual provider Active NPI

Kevin Randall Tozer, MD

  • Ophthalmology Physician
  • Scottsdale, AZ
National Provider Identifier
1912269689
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
54022 Issued in AZ
Practice address
9811 N 95TH St Ste 101
Scottsdale, AZ 85258-4527
Phone
(480) 947-4493
Fax
(480) 947-4751
NPI assigned
Jun 8, 2012
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 60607 MN
Ophthalmology Physician 207W00000X 54022 AZ Primary

Addresses

Primary practice location

9811 N 95TH St Ste 101
Scottsdale, AZ 85258-4527

Mailing address

9811 N 95TH St
Ste 101
Scottsdale, AZ 85258-4527
Phone (480) 947-4493

Other identifiers 1

IdentifierTypeStateIssuer
R73461OtherAZTRAINING PERMIT

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
I20170607002712 AZ Practitioner - Ophthalmology 7911202346 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Randall K Tozer MD PCGroup PAC ID 4688703168, 6 clinicians

Practice addresses (Care Compare)

9811 N 95TH St
Suite 101
Scottsdale, AZ 85258-4527
Phone (480) 947-4493

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery761

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Aug 10, 2017 Accepting new patients
Randall K Tozer MD PC Ophthalmology CurrentSince Jul 10, 2017 Accepting new patients
District Medical Group, Inc CurrentSince Aug 10, 2017 Accepting new patients
Randall K Tozer MD PC Ophthalmology CurrentSince Jul 10, 2017 Accepting new patients
Associated Ophthalmologists LTD Ophthalmology CurrentSince Aug 14, 2017 Accepting new patients
District Medical Group, Inc Current Accepting new patients

Locations

1830 S Alma School Rd
Ste 102
Mesa, AZ 85210
Phone (480) 947-4493

300 E Osborn Rd
Phoenix, AZ 85012
Phone (520) 234-8494

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

7245 E Osborn Rd
Ste 4
Scottsdale, AZ 85251
Phone (480) 994-5012

9811 N 95th St
Ste 101
Scottsdale, AZ 85258
Phone (480) 947-4493

Organizations & group practices 6

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": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912269689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 N 95TH ST",
            "address_2": "STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584527",
            "telephone_number": "480-947-4493",
            "fax_number": "480-947-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 N 95TH ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584527",
            "telephone_number": "480-947-4493",
            "fax_number": "480-947-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOZER",
        "first_name": "KEVIN",
        "middle_name": "RANDALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "60607",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "54022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "R73461",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.