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

Individual provider Specialist · NPI 1104928571

Dr. Thaddeo Consunji Oconer, MD is a Nephrology in Mesa, Arizona. Qualified in 1988, 38 years ago. Practices with Desert Kidney Associates PLC, a 27-clinician group and accepts Medicare assignment. Licensed in Arizona and Guam.

Years since qualifying
38
Licensed in
AZ, GU
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

612 W Baseline Rd
Mesa, AZ 85210-6041
Phone: (480) 834-9039
Fax: (480) 964-7802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 40121 (AZ)
Specialist Taxonomy 174400000X · Licence M001478 (GU)

Record details

NPI number1104928571
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 5, 2006
Last updated in NPPESMay 25, 2012

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Desert Kidney Associates Plc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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