Kelly Smith, M.D.

Radiology, Diagnostic Radiology in Scottsdale, AZ. Individual provider (NPI-1).

NPI number1144201799

StatusActive

Last updated in NPPESJun 6, 2019

Details

NPI: 1144201799
Entity type: Individual (NPI-1)
Name: Kelly Smith
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Nov 10, 2005
Last updated: Jun 6, 2019

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085R0202X	Radiology, Diagnostic Radiology	49780	AZ	Yes
208600000X	Surgery	A97602	CA

Other names

Kelly Tung (Former Name)

Practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Phone 480-301-8000

Mailing address

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Phone 480-301-8000

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Other Diagnostic Radiology Physician providers in Scottsdale, AZ

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