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

Dr. Kishore Tipirneni, MD

Individual provider Adult Reconstructive Orthopaedic Surgery Physician · NPI 1033184486

Dr. Kishore Tipirneni, MD is an Orthopedic Surgery in Phoenix, Arizona. Qualified in 1991, 35 years ago. Practices with Lakeside Orthopedic Institute LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
35
Licensed in
AZ
In the registry since
2006
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

19636 N 27th Ave Ste 401
Phoenix, AZ 85027-4021
Phone: (602) 298-8888
Fax: (602) 978-4129
Show map & directions

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

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence 24200 (AZ)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 24200 (AZ)

Record details

NPI number1033184486
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address7301 E 2nd St Ste 310, Scottsdale, AZ 85251-5627

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Lakeside Orthopedic Institute Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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