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DR. KENNETH W LIECHTY M.D.
NPI 1588752836
Surgery - Pediatric Surgery in Tucson, AZ

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
535 N WILMOT RD STE 101, TUCSON, AZ 85711(520) 694-5437(520) 874-7070 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 8, 2025, Oct 10, 2019 (2 updates tracked since 2019).

About Dr. Kenneth W Liechty M.d. NPPES

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

DR. KENNETH W LIECHTY M.D. (NPI 1588752836) is an individual pediatric surgery provider in Tucson, Arizona, licensed in Arizona (66494) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of University Of Utah School Of Medicine (1994).

NPPES Registry Identity

NPI1588752836
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. KENNETH W LIECHTYCredential: M.D.
Location Address535 N WILMOT RD STE 101Tucson, AZ 85711-2683
Mailing Address535 N Wilmot Rd Ste 101Tucson, AZ 85711-2683 · (520) 694-5437 · Fax (520) 874-7070
Phone(520) 694-5437
Fax(520) 874-7070
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1994
Enumeration DateOctober 11, 2006
Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1588752836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in AZ · 66494✔ Licensed in CO · DR.0054069✔ Licensed in MS · 20817
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License MD0598906 (PA)
535 N WILMOT RD STE 101, Tucson, AZ 85711
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Secondary Practice Location 1

Location 11625 N Campbell AveTucson, AZ 85719-4330 · Phone (520) 694-5437 · Fax (520) 874-7070

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., UnitedHealthcare.Insurance ›

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. Kenneth W Liechty 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 ID4284635061
PECOS Enrollment IDI20220822003173
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 15

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

EMMA TRACY MCMAHON
Nurse Practitioner (Pediatrics)
535 N WILMOT RD STE 101
TUCSON, AZ 85711
Pima County (520) 694-5437
JOSEPH E SHEPPARD MD
Orthopaedic Surgery (Hand Surgery)
535 N WILMOT RD STE 101
TUCSON, AZ 85711
Pima County (520) 694-8000
JORI GALLES RDN
Dietitian, Registered (Nutrition, Pediatric)
535 N WILMOT RD STE 101
TUCSON, AZ 85711
Pima County (520) 694-5437
LORRAINE K MERRILL
Nurse Practitioner (Pediatrics)
535 N WILMOT RD STE 101
TUCSON, AZ 85711
Pima County (520) 694-8888
SOFHIA YNES YTUARTE DNP, PNP-PC
Nurse Practitioner (Pediatrics)
535 N WILMOT RD STE 101
TUCSON, AZ 85711
Pima County (520) 694-5437
CHRISTINE A MUHLEMAN OT
Occupational Therapist
535 N WILMOT RD STE 101
TUCSON, AZ 85711
Pima County (520) 694-8000
DR. ANAS BITAR M.D.
Pediatrics (Pediatric Gastroenterology)
535 N WILMOT RD STE 101
TUCSON, AZ 85711
Pima County (520) 694-5437
SUSAN PAMELA GOODE M.D.
Pediatrics (Pediatric Gastroenterology)
535 N WILMOT RD STE 101
TUCSON, AZ 85711
Pima County (520) 694-5437

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 Kenneth Liechty's NPI number?

The NPI number for Kenneth Liechty is 1588752836. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Kenneth Liechty located?

Kenneth Liechty practices at 535 N Wilmot Rd Ste 101, Tucson, AZ 85711. The listed phone number is (520) 694-5437.

What is Kenneth Liechty's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Kenneth Liechty enrolled in Medicare?

Yes. Kenneth Liechty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Liechty accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Kenneth Liechty 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 Kenneth Liechty was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.