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

Keyvan Koochek, MD

Individual provider Internal Medicine Physician · NPI 1902855513

Keyvan Koochek, MD is an Internal Medicine in Scottsdale, Arizona. Qualified in 2002, 24 years ago. Practices with Banner - University Hospital Based Physicians LLC, a 347-clinician group. Licensed in Arizona.

Years since qualifying
24
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

11000 N Scottsdale Rd Ste 120
Scottsdale, AZ 85254-6130
Phone: (480) 455-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 34947 (AZ)

Record details

NPI number1902855513
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Banner - University Hospital Based Physicians Llc — 347 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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