Active NPI
Robert Jones, DO
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 010112
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010112 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Healthcare Institute Inc | Family Medicine | Current | Accepting new patients |
| Kachina Family Practice PA | Family Medicine | Current | Accepting new patients |
| Endocrinology Associates P a DTD | Past | 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
- 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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1467508432
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1376597344
-
- Endocrinology, Diabetes & Metabolism Physician
- Scottsdale, AZ
- NPI 1740294420
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chandler, AZ
- NPI 1831678218
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.