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

Dr. Kyle John Butkiewicz, MD

Individual provider Anesthesiology Physician · NPI 1609842590

Dr. Kyle John Butkiewicz, MD is an Anesthesiology in Phoenix, Arizona. Graduated from Mayo Medical School in 1996, 30 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
30
Trained at
Mayo Medical School
Licensed in
AZ
In the registry since
2006
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

1625 E Northern Ave Ste 103
Phoenix, AZ 85020-3960
Phone: (602) 200-9021
Fax: (602) 200-9087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 — (480) 301-8000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 32623 (AZ)

Record details

NPI number1609842590
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address8307 N Merion Way, Paradise Valley, AZ 85253-2733

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMAYO MEDICAL SCHOOL
Graduated 1996 (30 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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