DR. KEVIN P ENGELHARDT M.D.
NPI 1356654867
Pediatrics - Pediatric Critical Care Medicine in Phoenix, AZ

Q: What is Kevin Engelhardt's NPI number?

The NPI number for Kevin Engelhardt is 1356654867. It was assigned to this individual provider in the NPPES registry on July 26, 2010.

Q: What is Kevin Engelhardt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Engelhardt was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 26, 2010PECOS EnrolledAccepts Medicare Assignment

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-2311(602) 933-2697 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kevin P Engelhardt M.d. NPPES

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

DR. KEVIN P ENGELHARDT M.D. (NPI 1356654867) is an individual pediatric critical care medicine provider in Phoenix, Arizona, licensed in Arizona (56039) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2010).

NPPES Registry Identity

NPI1356654867

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. KEVIN P ENGELHARDTCredential: M.D.

Location Address1919 E THOMAS RDPhoenix, AZ 85016

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1813

Phone(602) 933-2311

Fax(602) 933-2697

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2010

Enumeration DateJuly 26, 2010

Last NPPES UpdateAugust 29, 2018

✔ NPI 1356654867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in AZ · 56039

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License R72275 (AZ)

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 56039 (AZ)

1919 E THOMAS RD, Phoenix, AZ 85016

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin P Engelhardt M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860756137

PECOS Enrollment IDI20180514002572

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.

Other Providers at the Same Location NPPES 20

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

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