OrganizationActive
Arizona Interventional Medical Group PC
NPI 1053615021 · Vascular & Interventional Radiology Physician · Phoenix, AZ
Provider details
- NPI number
- 1053615021
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- J King, Owner(630) 725-2768
- License
- 42646 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2338 W Royal Palm Rd
Suite J
Phoenix, AZ 85021-9339
Phone: (630) 725-2768
Fax: (877) 219-4810
Street-level locationGet directions
Mailing address
1901 Butterfield Rd
Downers Grove, IL 60515-7915
Registry dates
- Enumerated
- 2011-01-05
- Last updated
- 2011-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.