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

Kyle Watanabe

Individual provider Emergency Medicine Physician · NPI 1144607722

Kyle Watanabe is an Emergency Medicine in Phoenix, Arizona. Graduated from University of Hawaii John A. Burns School of Medicine in 2015, 11 years ago. Practices with Northwest Hbp Medical Services LLC, a 286-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
AZ
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 54589 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144607722
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 2, 2015
Last updated in NPPESJune 20, 2019
Mailing address2601 E Roosevelt St, Phoenix, AZ 85008-4973

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Northwest Hbp Medical Services Llc — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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