Individual provider Active NPI

William M Jaffe, DO

  • Cardiovascular Disease Physician
  • Casa Grande, AZ
National Provider Identifier
1083648158
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
005180 Issued in AZ
Practice address
1890 E Florence Blvd
Suite 1
Casa Grande, AZ 85122-5642
Phone
(520) 381-8850
Fax
(520) 381-8851
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 005180 AZ Primary

Addresses

Primary practice location

1890 E Florence Blvd
Suite 1
Casa Grande, AZ 85122-5642

Mailing address

4444 N 32ND Street
Suite 175
Phoenix, AZ 85018-3956
Phone (602) 952-0002

Other identifiers 1

IdentifierTypeStateIssuer
441137MedicaidAZ

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
I20090812000473 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6204883721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

1890 E Florence Blvd
Suite 1
Casa Grande, AZ 85122-5642
Phone (520) 381-8850

1910 E Thomas Rd
Suite 200
Phoenix, AZ 85016-7767
Phone (602) 266-2200

3811 E Bell Rd
Phoenix, AZ 85032-2160

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (602) 274-6506

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039

525 S Watson Rd
Suite 200
Buckeye, AZ 85326-3451
Phone (602) 726-8750

6036 N 19TH Ave
Phoenix, AZ 85015-2143
Phone (602) 841-0721

6565 E Greenway Pkwy
Scottsdale, AZ 85254-2073
Phone (480) 905-2700

708 S Coeur D Alene LN
Suite 100
Payson, AZ 85541-5662
Phone (928) 472-7440

708 S Coeur D'Alene Lane
Suite a
Payson, AZ 85541-5662
Phone (602) 726-8805

708 S Coeur D'Alene LN
Payson, AZ 85541-5662
Phone (928) 474-2175

Hospital & facility affiliations

  • Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Internal Medicine CurrentSince Mar 1, 2014 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Jan 26, 2019 Accepting new patients
District Medical Group, Inc Current Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jan 26, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Mar 1, 2014 Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Internal Medicine Past Accepting new patients

Locations

525 S Watson Rd
Ste 200
Buckeye, AZ 85326
Phone (602) 726-8750

1890 E Florence Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 381-8850

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

708 S Coeur D Alene Ln
Ste 100
Payson, AZ 85541
Phone (928) 472-7440

708 S Coeur D Alene Ln
Ste A
Payson, AZ 85541
Phone (928) 472-7440

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

6036 N 19th Ave
Ste 505
Phoenix, AZ 85015
Phone (602) 249-0839

2000 W Bethany Home Rd
Ste 200
Phoenix, AZ 85015
Phone (602) 246-5525

3811 E Bell Rd
Ste 300
Phoenix, AZ 85032
Phone (480) 454-7350

2777 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 952-0002

4444 N 32nd St
Ste 175
Phoenix, AZ 85018
Phone (602) 952-0002

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

1910 E Thomas Rd
Ste 200
Phoenix, AZ 85016

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

2777 E Camelback Rd
Ste 230
Phoenix, AZ 85016
Phone (602) 952-0002

1910 E Thomas Rd
Ste 101
Phoenix, AZ 85016
Phone (480) 470-0003

6036 N 19th Ave
Ste 506
Phoenix, AZ 85015
Phone (602) 246-5525

Interoperability endpoints

  • Direct secure messaging: william.jaffe.1@600.direct.athenahealth.com

Organizations & group practices 6

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1083648158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 N 32ND STREET",
            "address_2": "SUITE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183956",
            "telephone_number": "602-952-0002",
            "fax_number": "602-224-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 E FLORENCE BLVD",
            "address_2": "SUITE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225642",
            "telephone_number": "520-381-8850",
            "fax_number": "520-381-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "005180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441137",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.