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Active NPI 1598704058 Individual Practitioner Male Practitioner

Dr. Kenneth Jackimczyk , MD

Emergency Medicine • Phoenix, AZ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Jackimczyk, MD is a registered healthcare professional specializing in Emergency Medicine in Phoenix, AZ. Official NPI practice address is registered at 2601 E ROOSEVELT ST.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2601 E Roosevelt St

Phoenix, AZ 850084973

Telephone 6023445418
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 17.4 Yrs
Regional Practice Density
399 Specialists

Practicing in Phoenix, AZ (1535 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
37.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
13 13 $186.38 $115.71
99285 Emergency department visit for life threatening or functioning severity
13 12 $274.00 $170.24

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License AZ 21852

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Andrea Brock , ANP

Nurse Practitioner - Acute Care

NPI 1073945119

Adult Nurse Practitioner

Dr. Norberto Adame , MD

Emergency Medicine

NPI 1144276213

Doctor of Medicine (M.D.)

Dr. Jason Knight , MD

Emergency Medicine

NPI 1154378297

Doctor of Medicine (M.D.)

Dr. Brad Selden , MD

Emergency Medicine

NPI 1235170416

Doctor of Medicine (M.D.)

Kelly Kaufman , CRNA

Nurse Anesthetist, Certified Registered

NPI 1245303940

Certified Registered Nurse Anesthetist

NPI 1316984206

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2601 E ROOSEVELT ST, PHOENIX, AZ 850084973 (Tel: 6023445418)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3255 E ELWOOD ST, #110, PHOENIX, AZ 850347256 (Tel: 6024705043)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH JACKIMCZYK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #21852 in AZ)

🟢
Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598704058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

3255 E Elwood St, #110

Phoenix, AZ 850347256

Phone: 6024705043

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.