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DR. KIM T. LONG MD
NPI 1043250194
Pediatrics in Phoenix, AZ

Active since June 07, 2006PECOS Enrolled
4011 N 51ST AVE, PHOENIX, AZ 85031(623) 344-6900(623) 344-6969 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kim T. Long Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIM T. LONG MD (NPI 1043250194) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (16770) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043250194
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KIM T. LONGCredential: MD
Location Address4011 N 51ST AVEPhoenix, AZ 85031-2601
Mailing Address2929 E Thomas RdPhoenix, AZ 85016-8034 · (602) 470-5000
Phone(623) 344-6900
Fax(623) 344-6969
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateAugust 23, 2011
✔ NPI 1043250194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 16770
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4011 N 51ST AVE, Phoenix, AZ 85031
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Other Identifiers 3

Medicare UPIND37207
Medicare PINZ133771AZ
Medicaid269507AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim T. Long Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kim Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

District Medical Group, Inc
8.4 mi
Pulmonary Disease
2525 E ROOSEVELT ST, MED CLINIC - PULMONARY
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1700119815 (602) 344-1095

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MONA KHURANA MD
Pediatrics
4011 N 51ST AVE
PHOENIX, AZ 85031
Maricopa County (623) 344-6900
VAISHALI KHETARPAL MD
Pediatrics
4011 N 51ST AVE
PHOENIX, AZ 85031
Maricopa County (623) 344-6900
DR. HOPE B. KURK MD
Pediatrics
4011 N 51ST AVE
PHOENIX, AZ 85031
Maricopa County (623) 344-6900
ARLENE R. KARLIN CNM, FNP
Advanced Practice Midwife
4011 N 51ST AVE
PHOENIX, AZ 85031
Maricopa County (623) 344-6900
ALEKSANDRA OBRADOV M.D.
Pediatrics
4011 N 51ST AVE
PHOENIX, AZ 85031
Maricopa County (623) 344-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Long's NPI number?

The NPI number for Kim Long is 1043250194. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Kim Long located?

Kim Long practices at 4011 N 51st Ave, Phoenix, AZ 85031. The listed phone number is (623) 344-6900.

What is Kim Long's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kim Long enrolled in Medicare?

Yes. Kim Long is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Long reassigns Medicare benefits to District Medical Group, Inc (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kim Long was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.