Individual provider Active NPI

Cristian N Jivcu, M.D.

  • Pulmonary Disease Physician
  • Paradise Valley, AZ
National Provider Identifier
1033315601
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
42944 Issued in AZ
Practice address
10585 N Tatum Blvd
Ste D130
Paradise Valley, AZ 85253-1073
Phone
(602) 559-9966
Fax
(602) 395-8984
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 81314 AZ
Pulmonary Disease Physician 207RP1001X 42944 AZ Primary

Addresses

Primary practice location

10585 N Tatum Blvd
Ste D130
Paradise Valley, AZ 85253-1073

Mailing address

5151 E Broadway Rd
Ste 107
Mesa, AZ 85206-1346
Phone (480) 290-7000

Other identifiers 2

IdentifierTypeStateIssuer
Z171598OtherAZMEDICARE
945196MedicaidAZ

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
I20111104000212 AZ Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1254504384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of California, Irvine, California College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scottsdale Pulmonary and Critical Care LLCGroup PAC ID 3375876758, 13 clinicians

Practice addresses (Care Compare)

7301 E 2ND St
Suite 315
Scottsdale, AZ 85251-5627
Phone (480) 994-9838

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125509CAMDMarriage & Family Therapist
81314AZMDInternal Medicine Physician
42944AZMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Pulmonary and Critical Care, LLC Critical Care Medicine CurrentSince Aug 22, 2023 Accepting new patients
Honorhealth Past Accepting new patients

Locations

7301 E 2nd St
Ste 315
Scottsdale, AZ 85251
Phone (480) 947-7711

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1033315601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY RD",
            "address_2": "STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061346",
            "telephone_number": "480-290-7000",
            "fax_number": "602-254-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10585 N TATUM BLVD",
            "address_2": "STE D130",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531073",
            "telephone_number": "602-559-9966",
            "fax_number": "602-395-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIVCU",
        "first_name": "CRISTIAN",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "81314",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "42944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z171598",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945196",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

Verify at the official NPI Registry.