KMS MD PC
NPI 1669724696
Family Medicine - Sports Medicine in Phoenix, AZ

Q: What is Kms MD PC's NPI number?

The NPI number for Kms MD PC is 1669724696. It was assigned to this organization in the NPPES registry on October 15, 2012.

Q: What is Kms MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Kms MD PC was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 October 15, 2012

5350 E DEER VALLEY DR UNIT 4275, PHOENIX, AZ 85054(858) 337-2452 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Kms Md Pc NPPES

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

KMS MD PC (NPI 1669724696) is a healthcare organization registered as a sports medicine in Phoenix, Arizona and active in the NPI registry since October 2012. The organization lists Kareem Shaarawy, President, as its authorized official.

NPPES Registry Identity

NPI1669724696

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameKMS MD PC

Location Address5350 E DEER VALLEY DR UNIT 4275Phoenix, AZ 85054-4167

Mailing Address5350 E Deer Valley Dr Unit 4275Phoenix, AZ 85054-4167 · (858) 337-2452

Phone(858) 337-2452

Organization SubpartNo

Authorized OfficialKareem ShaarawyPresident · (858) 337-2452

Enumeration DateOctober 15, 2012

✔ NPI 1669724696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in AZ · 45249

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedEmergency Medicine · Sports MedicineTaxonomy 207PS0010X · License A120807 (CA)

5350 E DEER VALLEY DR UNIT 4275, Phoenix, AZ 85054

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kms Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kms MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kareem Shaarawy, M.D.

Family Practice

NPI 1588811970

500 W THOMAS RD STE 800
Phoenix, AZ 85013

(602) 406-1234

✔ PECOS✔ Accepts Medicare15 mi

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

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 Kms MD PC's NPI number?

The NPI number for Kms MD PC is 1669724696. It was assigned to this organization in the NPPES registry on October 15, 2012.

Where is Kms MD PC located?

Kms MD PC is located at 5350 E Deer Valley Dr Unit 4275, Phoenix, AZ 85054. The listed phone number is (858) 337-2452.

What is Kms MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Kms MD PC enrolled in Medicare?

Yes. Kms MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kms MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kms MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kms MD PC was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.