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

Kenji Tanaka, MD

Individual provider Pediatric Hematology & Oncology Physician · NPI 1972122075

Kenji Tanaka, MD is a Pediatric Medicine in Phoenix, Arizona. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
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

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0920
Fax: (602) 933-2492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13123 E 16th Ave # B115, Aurora, CO 80045-7106 — (720) 777-1234

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 80457 (AZ)

Record details

NPI number1972122075
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address2108 E Thomas Rd, Phoenix, AZ 85016-7761

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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