Individual provider Active NPI

Jeffrey H Hill, M.D., PHD

  • Pediatric Critical Care Medicine Physician
  • Sierra Vista, AZ
National Provider Identifier
1053385609
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
17848 Issued in AZ
Practice address
5700 E Highway 90 FL 4
Sierra Vista, AZ 85635-9110
Phone
(520) 263-3500
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME142315 FL
Pediatric Critical Care Medicine Physician 2080P0203X ME142315 FL
Hospitalist Physician 208M00000X 17848 AZ
Hospitalist Physician 208M00000X ME142315 FL
Pediatric Critical Care Medicine Physician 2080P0203X 17848 AZ Primary

Addresses

Primary practice location

5700 E Highway 90 FL 4
Sierra Vista, AZ 85635-9110

Mailing address

43 E Rose LN
Phoenix, AZ 85012-1240
Phone (602) 319-3519

Other practice location 1

43 E Rose Ln
Phoenix, AZ 85012-1240
Phone (602) 000-0000

Other identifiers 1

IdentifierTypeStateIssuer
295669MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071231000485 AZ Practitioner - Pediatric Medicine 5890733406 Reassigns benefits to 1 organization
I20171018000687 CA Practitioner - Pediatric Medicine 5890733406 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME142315FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Regional Health Center Medical Group LLC Pediatrics CurrentSince Dec 7, 2019 Accepting new patients
Valley Children'S Medical Group Pediatrics CurrentSince Sep 9, 2017 Accepting new patients
Rodd Aking MD LLC PastSince Nov 24, 2025 Accepting new patients
Rodd Aking MD LLC PastSince Jan 26, 2025 Accepting new patients
VHS Outpatient Clinics, Inc. Past Accepting new patients

Locations

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

5700 E Highway 90
Fl 4
Sierra Vista, AZ 85635
Phone (520) 263-3500

1524 McHenry Ave
Ste 550
Modesto, CA 95350
Phone (209) 557-5995

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

Interoperability endpoints

  • Direct secure messaging: eld6968@yourcarecommunity.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1053385609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 E ROSE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121240",
            "telephone_number": "602-319-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 E HIGHWAY 90 FL 4",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856359110",
            "telephone_number": "520-263-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 E Rose Ln",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850121240",
            "country_code": "US",
            "telephone_number": "602-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "JEFFREY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME142315",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "FL",
            "license": "ME142315",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "17848",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME142315",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "AZ",
            "license": "17848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295669",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.