Active NPI
Ivan Michael Filner, D.O.
- Family Medicine Physician
- Peoria, AZ
National Provider Identifier
1003982059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3383
- Practice address
- 15182 N 75TH Ave
180
Peoria, AZ 85381-4722 - Phone
- (623) 487-3334
- Fax
- (623) 487-3656
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3383 | AZ | Primary |
Addresses
Primary practice location
15182 N 75TH Ave
180
Peoria, AZ 85381-4722
Mailing address
15182 N 75TH Ave
180
Peoria, AZ 85381-4722
Phone (623) 487-3334
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F00981 | Other | AZ | PHOENIX HEALTH PLAN |
| 460840 | Medicaid | AZ | |
| AZ0840950 | Other | AZ | BCBS |
| 1Z7949 | Other | AZ | HEALTHNET |
| 52892 | Other | AZ | AETNA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
15182 N 75th Ave
Ste 180
Peoria, AZ 85381
Phone (602) 567-7856
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
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 and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1528396108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1003982059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15182 N 75TH AVE",
"address_2": "180",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814722",
"telephone_number": "623-487-3334",
"fax_number": "623-487-3656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15182 N 75TH AVE",
"address_2": "180",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814722",
"telephone_number": "623-487-3334",
"fax_number": "623-487-3656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILNER",
"first_name": "IVAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "3383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHOENIX HEALTH PLAN",
"identifier": "F00981",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "460840",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0840950",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1Z7949",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "52892",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.