Individual provider Active NPI

Robert Jones, DO

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1144859307
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
010112 Issued in AZ
Practice address
16611 S 40TH St Ste 120
Phoenix, AZ 85048-0563
Phone
(480) 706-4100
Fax
(480) 706-2600
NPI assigned
Apr 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 010112 AZ Primary

Addresses

Primary practice location

16611 S 40TH St Ste 120
Phoenix, AZ 85048-0563

Mailing address

1250 E 3900 S Ste 260
SLC, UT 84124-1371
Phone (801) 590-9862

Other practice location 1

1250 E 3900 S Ste 260
Slc, UT 84124-1371
Phone (801) 590-9862

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
I20230627000517 AZ Practitioner - Family Practice 2769802271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kachina Family Practice PAGroup PAC ID 3274427802, 4 clinicians

Practice addresses (Care Compare)

16611 S 40TH St
Suite 120
Phoenix, AZ 85048-0563
Phone (480) 706-4100

Hospital & facility affiliations

  • Dignity Health at Home Home health agency, Chandler, AZ, CCN 037281

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010112AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Healthcare Institute Inc Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Kachina Family Practice PA Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Endocrinology Associates P a DTD PastSince May 7, 2023 Accepting new patients

Locations

16611 S 40th St
Ste 120
Phoenix, AZ 85048
Phone (480) 706-4100

1250 E 3900 S
Ste 260
Slc, UT 84124
Phone (801) 265-2000

Interoperability endpoints

  • Direct secure messaging: robert.jones.1@27126.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1144859307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 260",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841241371",
            "telephone_number": "801-590-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16611 S 40TH ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480563",
            "telephone_number": "480-706-4100",
            "fax_number": "480-706-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E 3900 S Ste 260",
            "address_purpose": "LOCATION",
            "city": "Slc",
            "state": "UT",
            "postal_code": "841241371",
            "country_code": "US",
            "telephone_number": "801-590-9862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "010112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.