OrganizationActive
Az Kidney Dr LLC
NPI 1114654274 · Nephrology Physician · Tempe, AZ
Provider details
- NPI number
- 1114654274
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kussay Alsamkari, Owner(602) 741-5504
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
436 E Southern Ave
Tempe, AZ 85282-5216
Phone: (480) 336-2039
Fax: (602) 207-8899
Street-level locationGet directions
Mailing address
436 E Southern Ave
Tempe, AZ 85282-5216
Registry dates
- Enumerated
- 2022-08-08
- Last updated
- 2022-08-08
- Certified
- 2022-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.