Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth J Mishark, MD

Individual provider Hospitalist Physician · NPI 1780667725

Dr. Kenneth J Mishark, MD is a Hospitalist in Phoenix, Arizona. Graduated from Medical College of Wisconsin in 1988, 38 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group and accepts Medicare assignment. Licensed in Arizona and Minnesota.

Years since qualifying
38
Trained at
Medical College of Wisconsin
Licensed in
AZ, MN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5777 E Mayo Blvd
Phoenix, AZ 85054
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 25611 (AZ)
Hospitalist Physician Taxonomy 208M00000X · Licence 32703 (MN)

Record details

NPI number1780667725
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1988 (38 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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