Kelly Wickstrom, D.O.
Critical Care Medicine (Internal Medicine) Physician · Tucson, AZ
Kelly Wickstrom, D.O. is a critical care medicine (internal medicine) physician with a practice address in Tucson, Arizona, and NPI 1083092589, issued on May 15, 2015. Check the license (Arizona 008816, as entered in NPPES) on the Arizona Medical Board; the Medicare figures below come from public CMS files.
- Name
- Kelly Wickstrom
- Credential
- D.O.
- Primary taxonomy
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License numbers
- 008816 AZ
R2504 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 5301 E Grant RD, Tucson, AZ 85712
- Phone
- (520) 324-5696
- Enumerated
- May 15, 2015
- Record last updated
- Apr 29, 2023
- Fax
- (520) 324-1583
- Medicaid ID
- 088520 AZ
- Medicare enrollment
- Enrolled (PECOS I20210428002394); accepts Medicare assignment
- Medical or professional school
- Des Moines University Of Osteopathic Medicine And Health Sciences, 2015
- Entity
- Type 1 · individual
8 nearest critical care medicine (internal medicine) physician records → All 180 in Arizona → Look up another NPI →
Also registered at 5301 E Grant RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Daniel Aaronson, MDInternal Medicine Physician1134865355
- Ahmed AbuawadInternal Medicine Physician1326533431
- Seyedeh Atiyeh Afjei, MDStudent in an Organized Health Care Education/Training Program1477356160
- Chiamaka Agu, PHARMDStudent in an Organized Health Care Education/Training Program1215723820
- Edgar Aguayo, MDStudent in an Organized Health Care Education/Training Program1174325245
- Rand Al-Ani, MDStudent in an Organized Health Care Education/Training Program1528908928
Verify Kelly Wickstrom in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersArizona Medical Board
Search for license 008816Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
97% fewer Medicare Part D claims than the average critical care medicine (internal medicine) physician in 2024
20 Medicare Part D claims, against an average of 696 among the 2,873 providers of this specialty who prescribed in Part D. Brand-name drugs were 70% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Tmc Medical NetworkTucson, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly Wickstrom among 180 critical care medicine (internal medicine) physician records in Arizona
Kelly Wickstrom, D.O. is one of 180 critical care medicine (internal medicine) physician records with a practice address in Arizona. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 75% of them.
- NPI issued2015 · 75% of these records are older, 20% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 86% of these records are
- Graduated2015 · median 2007 among the 155 with a school on file
- Record last updated2023 · 29% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0200X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Critical Care Medicine (Internal Medicine) Physician providers in Arizona
There are 180 critical care medicine (internal medicine) physician records in Arizona.
All 180 in Arizona → Every provider in Tucson → Critical Care Medicine (Internal Medicine) Physician nationwide →
The 8 critical care medicine (internal medicine) physician records with the nearest ZIP codes
- Erick Perez Sifontes, MDTucson, AZ 857121144725904
- Sarah Upson, MDTucson, AZ 857121639675127
- Richard Ciezki, M.D.Tucson, AZ 857111669834537
- Wesley Cook, MDTucson, AZ 857111780894667
- Dean Prater, MDTucson, AZ 857111942382692
- Husnain WaseemTucson, AZ 857111750834032
- Antara Mallampalli, MDTucson, AZ 857101992885396
- Brian Shon, MDTucson, AZ 857101508858739
Common questions
What is Kelly Wickstrom, D.O.'s NPI number?
Kelly Wickstrom, D.O.'s National Provider Identifier (NPI) is 1083092589, issued on May 15, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Wickstrom, D.O. located?
The NPPES record lists a practice address at 5301 E Grant RD, Tucson, AZ, 85712. Phone: (520) 324-5696. Providers update this record themselves, so call before visiting.
How can I verify Kelly Wickstrom, D.O.'s license?
NPPES lists Arizona license number 008816, as entered by the provider. Search the Arizona Medical Board at https://www.azmd.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kelly Wickstrom, D.O. prescribe under Medicare Part D?
In 2024, Kelly Wickstrom, D.O. had 20 Medicare Part D claims; the average among critical care medicine (internal medicine) physician prescribers was 696. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.