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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENJI TANAKA MD
NPI 1972122075
Pediatrics - Pediatric Hematology-Oncology in Phoenix, AZ

Active since April 09, 2020PECOS Enrolled
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0920(602) 933-2492 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2023, Apr 9, 2020 (2 updates tracked since 2020).

About Kenji Tanaka Md NPPES

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

KENJI TANAKA MD (NPI 1972122075) is an individual pediatric hematology-oncology provider in Phoenix, Arizona, licensed in Arizona (80457) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1972122075
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameKENJI TANAKACredential: MD
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address2108 E Thomas RdPhoenix, AZ 85016-7761 · (602) 933-3124
Phone(602) 933-0920
Fax(602) 933-2492
Sole ProprietorNo
Enumeration DateApril 9, 2020
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1972122075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in AZ · 80457
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
1919 E THOMAS RD, Phoenix, AZ 85016
Open in Google Maps ↗

Secondary Practice Location 1

Location 113123 E 16th Ave # B115Aurora, CO 80045-7106 · Phone (720) 777-1234

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenji Tanaka 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.

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.

DR. TIMUR RAGHIB M.D.
Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0777
MRS. MARIA T ESCOBAR CSP, RD
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (480) 440-2787
DR. AHMAR HUSAIN MD
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
MRS. SOLEE R COWLEY LCSW
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0414
PRIYA PRASHER M.D.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1900
DR. AMIT RAJARAM D.O.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0198
LAURA GARDNER HAMANT
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1000
MS. KYLE MARIE CHRISTIAN-DOLD CPNP
Nurse Practitioner (Pediatrics)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1900

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 Kenji Tanaka's NPI number?

The NPI number for Kenji Tanaka is 1972122075. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Kenji Tanaka located?

Kenji Tanaka practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-0920.

What is Kenji Tanaka's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Kenji Tanaka enrolled in Medicare?

Yes. Kenji Tanaka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenji Tanaka was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.