Roy Jedeikin, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

14985 Issued in AZ

Practice address

1920 E Cambridge Ave
#301
Phoenix, AZ 85006-1459

Phone

(602) 253-6000

Fax

(602) 256-2878

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Phoenix Children'S Hospital

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1922112044
  Medicare reassignment NPD
• Phoenix Children'S Medical Group

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1487814240
  NPD
• Phoenix Children'S Medical Group

  • Multi-Specialty Clinic/Center
  • Glendale, AZ
  • NPI 1679703441
  NPD
• District Medical Group, Inc

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1295968162

  Pediatrics

  NPD (past)
• Fetal and Women'S Center of Arizona, LLC

  • Specialist
  • Scottsdale, AZ
  • NPI 1801822119
  NPD (past)
• Obstetrix Medical Group of Phoenix PC

  • Pediatric Cardiology Physician
  • Phoenix, AZ
  • NPI 1346269594
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1023060456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E CAMBRIDGE AVE",
            "address_2": "#301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061459",
            "telephone_number": "602-253-6000",
            "fax_number": "602-256-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E CAMBRIDGE AVE",
            "address_2": "#301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061459",
            "telephone_number": "602-253-6000",
            "fax_number": "602-256-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDEIKIN",
        "first_name": "ROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "14985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alethea Jean Philippe, PT, DPT
• Aaliyah Jean
• Nicholas Xavier Jebaily, MD
• Delaney Rae Jecmen
• Krista Marie Jeddi, FNP
• Caitlin Nicole Jefferis, MOT, OTR/L
• Alyssa Jeffers, RD
• Monica Nassim Jeffers, NMD, FNP-C
• Maria Jefferson-Walker, APRN
• Jeffery a Kohler, DDS, PC

• Pediatric Cardiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.

Verify at the official NPI Registry.