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

Dr. Kingsley Ebare, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1912439340

Dr. Kingsley Ebare, MD is a Pathology in Phoenix, Arizona. Qualified in 2008, 18 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Indiana.

Years since qualifying
18
Licensed in
AZ, IN
In the registry since
2017
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 85054-4502
Phone: (480) 301-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 350 W 11th St, Indianapolis, IN 46202-4108 — (317) 491-6350
  • 475 Seaview Ave, Staten Island, NY 10305-3436 — (718) 226-8855

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 69775 (AZ)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 01087978A (IN)

Record details

NPI number1912439340
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing address5777 E Mayo Blvd, Phoenix, AZ 85054-4502

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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