NPIMap

Individual provider Active NPI

Thomas C. Kupka, M.D.

  • Emergency Medicine Physician
  • Mesa, AZ
National Provider Identifier
1982632055
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18704 Issued in AZ
Practice address
Banner Baywood Medical Center
6644 E. Baywood Ave
Mesa, AZ 85206-1797
Phone
(480) 321-2000
NPI assigned
Jun 29, 2006
Last updated
Jul 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 18704 AZ Primary

Addresses

Primary practice location

Banner Baywood Medical Center
6644 E. Baywood Ave
Mesa, AZ 85206-1797

Mailing address

1741 E Morten Ave
Suite C-1
Phoenix, AZ 85020-4645
Phone (602) 870-0194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000244 AZ Practitioner - Emergency Medicine 0547366866 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians
Emergency Group of Arizona Professional CorporationGroup PAC ID 1355596644, 102 clinicians
FHMC ClinicGroup PAC ID 8729497706, 19 clinicians
FHMC Operating PCGroup PAC ID 2961818976, 12 clinicians

Practice addresses (Care Compare)

1833 N Power Rd
Mesa, AZ 85205-3799
Phone (888) 732-3317

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000

5227 E Carefree Hwy
Cave Creek, AZ 85331-9173
Phone (877) 934-9355

9700 N Saguaro Blvd
Fountain Hills, AZ 85268-6241
Phone (602) 671-7990

9700 N Saguaro Blvd
Suite 100
Fountain Hills, AZ 85268-6242
Phone (602) 671-7981

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18704AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FHMC Clinic Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Oct 1, 2019 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Aug 14, 2020 Accepting new patients
FHMC Operating PC Emergency Medicine CurrentSince Feb 8, 2025 Accepting new patients
FHMC LLC CurrentSince May 1, 2022 Accepting new patients
Quantum Healthcare Medical Associates of Arizona, PC Emergency Medicine CurrentSince Oct 7, 2012 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Mar 1, 2007 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
Team Physicians of Arizona PC Emergency Medicine Past Accepting new patients
Emergency Professional Services PC Emergency Medicine Past Accepting new patients

Locations

5227 E Carefree Hwy
Cave Creek, AZ 85331
Phone (602) 824-3900

9700 N Saguaro Blvd
Fountain Hls, AZ 85268
Phone (602) 671-7990

9700 N Saguaro Blvd
Ste 100
Fountain Hls, AZ 85268
Phone (602) 671-7981

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

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

1833 N Power Rd
Mesa, AZ 85205
Phone (480) 398-7340

5750 E Baseline Rd
Mesa, AZ 85206
Phone (602) 246-5797

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

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

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1982632055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 E MORTEN AVE",
            "address_2": "SUITE C-1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204645",
            "telephone_number": "602-870-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BANNER BAYWOOD MEDICAL CENTER",
            "address_2": "6644 E. BAYWOOD AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061797",
            "telephone_number": "480-321-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPKA",
        "first_name": "THOMAS",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "18704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.