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MR. KEVIN MICHAEL FORDELL P.A.
NPI 1417107822
Emergency Medicine in Mesa, AZ

Active since September 22, 2008PECOS Enrolled
2550 N THUNDERBIRD CIR STE 303, MESA, AZ 85215(480) 924-8382(480) 924-8399 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Kevin Michael Fordell P.a. NPPES

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

MR. KEVIN MICHAEL FORDELL P.A. (NPI 1417107822) is an individual emergency medicine provider in Mesa, Arizona, licensed in Arizona (4295) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417107822
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMR. KEVIN MICHAEL FORDELLCredential: P.A.
Location Address2550 N THUNDERBIRD CIR STE 303Mesa, AZ 85215-1219
Mailing Address645 E Missouri Ave Ste 300Phoenix, AZ 85012-1351 · (602) 502-4621
Phone(480) 924-8382
Fax(480) 924-8399
Sole ProprietorYes
Enumeration DateSeptember 22, 2008
Last NPPES UpdateMarch 1, 2023
NPPES CertifiedMarch 1, 2023
✔ NPI 1417107822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AZ · 4295
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 4295 (AZ)
2550 N THUNDERBIRD CIR STE 303, Mesa, AZ 85215
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Michael Fordell P.a. 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
62 services62 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
50 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85215 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 3

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

MRS. BRITANY LEWIS PA
Physician Assistant
2550 N THUNDERBIRD CIR STE 303
MESA, AZ 85215
Maricopa County (480) 353-2286
CHRISTINE ANN CARY PA
Physician Assistant
2550 N THUNDERBIRD CIR STE 303
MESA, AZ 85215
Maricopa County (480) 289-7890
CHRISTOPHER S CARDWELL PA-C
Physician Assistant (Medical)
2550 N THUNDERBIRD CIR STE 303
MESA, AZ 85215
Maricopa County (888) 381-4858

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 Kevin Fordell's NPI number?

The NPI number for Kevin Fordell is 1417107822. It was assigned to this individual provider in the NPPES registry on September 22, 2008.

Where is Kevin Fordell located?

Kevin Fordell practices at 2550 N Thunderbird Cir Ste 303, Mesa, AZ 85215. The listed phone number is (480) 924-8382.

What is Kevin Fordell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kevin Fordell enrolled in Medicare?

Yes. Kevin Fordell is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Fordell accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Kevin Fordell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Fordell was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.