Individual provider Active NPI

Perry S Hiscok, M.D.

  • Diagnostic Radiology Physician
  • Glendale, AZ
National Provider Identifier
1003870726
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27471 Issued in AZ
Practice address
7111 W Bell Rd
Suite 104
Glendale, AZ 85308-8551
Phone
(623) 533-4465
NPI assigned
Apr 12, 2006
Last updated
Dec 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 27471 AZ Primary

Addresses

Primary practice location

7111 W Bell Rd
Suite 104
Glendale, AZ 85308-8551

Mailing address

PO Box 27340
Phoenix, AZ 85061-7340
Phone (602) 943-9200

Other identifiers 3

IdentifierTypeStateIssuer
468943MedicaidAZ
AZ0782750OtherAZBCBSAZ
P00308OtherAZHEALTH NET OF ARIZONA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050919000090 AZ Practitioner - Diagnostic Radiology 8820021967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arizona College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

1000 N Humphreys St
Suite 100
Flagstaff, AZ 86001-3124
Phone (928) 223-0200

10440 E Riggs Rd
110 Simonmed Imaging Sun Lakes
Sun Lakes, AZ 85248-7751
Phone (480) 883-6860

10815 W McDowell Rd
102 Simonmed Imaging Avondale
Avondale, AZ 85392-5009
Phone (623) 433-0121

10825 W McDowell Rd
110 Simonmed Imaging Avondale Akos
Avondale, AZ 85392-5107
Phone (623) 251-6030

1110 E Missouri Ave
410 Simonmed Imaging Stand Up Open MRI
Phoenix, AZ 85014-2704
Phone (602) 274-4674

1111 S Dobson Rd
105 Simonmed Imaging Mesa Desert
Mesa, AZ 85202-3902
Phone (480) 964-4995

130 S 63Rd St
123 Simonmed Imaging Baywood
Mesa, AZ 85206-1604
Phone (480) 264-4900

13090 N 94TH Dr
103 Simonmed Imaging Plaza del Rio
Peoria, AZ 85381-4257
Phone (623) 234-8770

1313 W Saint Marys Rd
Simonmed Imaging St Marys
Tucson, AZ 85745-3112
Phone (520) 449-8115

1331 N 7TH St
150 Simonmed Imaging Phoenix High Field
Phoenix, AZ 85006-2711
Phone (602) 253-0000

1345 E McKellips Rd
106 Simonmed Imaging McKellips
Mesa, AZ 85203-2721
Phone (480) 265-8101

13555 W McDowell Rd
100 Simonmed Imaging Goodyear
Goodyear, AZ 85395-2624
Phone (623) 213-7690

13624 W Camino del Sol
300 Simonmed Imaging Sun City West
Sun City West, AZ 85375-3402
Phone (623) 214-6609

13657 W McDowell Rd
111 Simonmed Imaging Palm Valley II
Goodyear, AZ 85395-2602
Phone (623) 302-7930

1425 S Greenfield Rd BLDG 2
Mesa, AZ 85206-5505

14823 W Bell Rd
110 Simonmed Imaging Stadium Village
Surprise, AZ 85374-7604
Phone (623) 302-7900

15810 S 45TH St
110 Simonmed Imaging Ahwatukee
Phoenix, AZ 85048-7695
Phone (480) 753-6161

1664 E Florence Blvd
18 Simonmed Imaging Casa Grande
Casa Grande, AZ 85122-4779
Phone (520) 421-4875

1760 E Pecos Rd
101 Simonmed Imaging Rome Towers
Gilbert, AZ 85295-3201
Phone (480) 855-8060

1845 W Orange Grove Rd
103 Simonmed Imaging Orange Grove
Tucson, AZ 85704-1147
Phone (520) 230-4900

1870 W Frye Rd
3 Simonmed Imaging Dobson II
Chandler, AZ 85224-6233
Phone (480) 264-2350

20414 N 27TH Ave
150 Simonmed Imaging Deer Valley
Phoenix, AZ 85027-3246
Phone (623) 234-2520

2080 W Southern Ave BLDG C
Simonmed Imaging Apache Junction
Apache Junction, AZ 85120-7653
Phone (480) 474-5960

20830 N Tatum Blvd
190 Simonmed Imaging Desert Ridge
Phoenix, AZ 85050-7253
Phone (480) 306-7900

21115 E Rittenhouse Rd
Simonmed Imaging Rittenhouse
Queen Creek, AZ 85142-4838
Phone (480) 371-3491

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Premier Sports Imaging of Glendale Past Accepting new patients
Clinical Diagnostic Radiology in Nuclear Medicine Diagnostic Radiology Past Accepting new patients

Locations (25 of 54)

3618 W Anthem Way
Ste D104
Anthem, AZ 85086
Phone (623) 551-3391

10815 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 423-0121

818 S Watson Rd
Ste 102
Buckeye, AZ 85326
Phone (623) 302-9080

1664 E Florence Blvd
Ste 18
Casa Grande, AZ 85122
Phone (520) 421-4875

1870 W Frye Rd
Ste 3
Chandler, AZ 85224
Phone (480) 264-2350

235 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 264-2300

725 S Dobson Rd
Ste 105B
Chandler, AZ 85224
Phone (480) 786-2850

2450 E Guadalupe Rd
Ste 109
Gilbert, AZ 85234
Phone (480) 284-6019

2680 S Val Vista Dr
Ste 135
Gilbert, AZ 85295
Phone (480) 584-4900

875 N Greenfield Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 545-0113

5410 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 424-0935

5410 W Thunderbird Rd
Ste 210
Glendale, AZ 85306
Phone (602) 535-5210

5620 W Thunderbird Rd
Ste A
Glendale, AZ 85306
Phone (602) 336-8600

6320 W Union Hills Dr
Ste 120
Glendale, AZ 85308
Phone (602) 535-2840

13657 W McDowell Rd
Ste 111
Goodyear, AZ 85395
Phone (623) 302-7930

7205 S 51st Ave
Ste 101
Laveen, AZ 85339
Phone (602) 627-0170

130 S 63rd St
Ste 123
Mesa, AZ 85206
Phone (480) 264-4900

1425 S Greenfield Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 324-8033

1457 W Southern Ave
Ste 26
Mesa, AZ 85202
Phone (480) 827-2237

456 N Mesa Dr
Mesa, AZ 85201
Phone (480) 655-7517

5424 E Southern Ave
Ste 104
Mesa, AZ 85206
Phone (480) 218-3250

117 E Main St
Ste D100
Payson, AZ 85541
Phone (928) 468-8234

13090 N 94th Dr
Ste 103
Peoria, AZ 85381
Phone (623) 234-8770

9125 W Thunderbird Rd
Ste 105
Peoria, AZ 85381
Phone (623) 234-8725

9139 W Thunderbird Rd
Ste 112
Peoria, AZ 85381
Phone (623) 875-1637

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1003870726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27340",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850617340",
            "telephone_number": "602-943-9200",
            "fax_number": "602-216-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 W BELL RD",
            "address_2": "SUITE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088551",
            "telephone_number": "623-533-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISCOK",
        "first_name": "PERRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "27471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468943",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0782750",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET OF ARIZONA",
            "identifier": "P00308",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.