Individual provider Active NPI

Gerald Schwartzberg, MD

  • Pulmonary Disease Physician
  • Phoenix, AZ
National Provider Identifier
1104914472
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5243 Issued in AZ
Practice address
9100 N 2ND St
#121
Phoenix, AZ 85020
Phone
(602) 997-7331
Fax
(602) 870-4512
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 5243 AZ Primary

Addresses

Primary practice location

9100 N 2ND St
#121
Phoenix, AZ 85020

Mailing address

9100 N 2ND St
121
Phoenix, AZ 85020
Phone (602) 997-7331

Other identifiers 1

IdentifierTypeStateIssuer
219354MedicaidAZ

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
I20050526000642 AZ Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6406898725 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Aug 1, 2012 Accepting new patients
Squaw Peak Family Physicians PC Family Medicine Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Aug 1, 2012 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Ambulatory CurrentSince Dec 30, 2020 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory Pulmonary Disease CurrentSince Dec 30, 2020 Accepting new patients

Locations

9250 N 3rd St
Ste 2015
Phoenix, AZ 85020
Phone (602) 562-3010

9100 N 2nd St
Ste 121
Phoenix, AZ 85020
Phone (602) 943-4509

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Organizations & group practices 7

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1104914472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 N 2ND ST",
            "address_2": "121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-997-7331",
            "fax_number": "602-870-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 N 2ND ST",
            "address_2": "#121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-997-7331",
            "fax_number": "602-870-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZBERG",
        "first_name": "GERALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "5243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219354",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.