Individual provider Active NPI

Jennifer Ekdahl Cortes, M.D.

  • Internal Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1225204381
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43369 Issued in AZ
Practice address
1120 W University Ave Ste 101
Flagstaff, AZ 86001-2851
Phone
(928) 522-1300
Fax
(928) 522-1301
NPI assigned
May 7, 2008
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43369 AZ Primary
Pediatrics Physician 208000000X 43369 AZ

Addresses

Primary practice location

1120 W University Ave Ste 101
Flagstaff, AZ 86001-2851

Mailing address

PO Box 1231
Tucson, AZ 85702-1231
Phone (520) 670-3909

Other practice location 1

1501 S Yale St Ste 252
Flagstaff, AZ 86001-7336
Phone (928) 774-1811

Other identifiers 1

IdentifierTypeStateIssuer
524359MedicaidAZ

Other names 1

  • Jennifer Susan Ekdahl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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
I20100820000463 TX Practitioner - Pediatric MedicinePractitioner - Internal Medicine 9234263609 Reassigns benefits to 1 organization
I20150622000000 AZ Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Hospitalist 9234263609 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation Internal Medicine CurrentSince Jul 8, 2010 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Jul 8, 2010 Accepting new patients
North Country Healthcare, Inc. Pediatrics Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1225204381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857021231",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W UNIVERSITY AVE STE 101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012851",
            "telephone_number": "928-522-1300",
            "fax_number": "928-522-1301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S Yale St Ste 252",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860017336",
            "country_code": "US",
            "telephone_number": "928-774-1811",
            "fax_number": "928-774-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTES",
        "first_name": "JENNIFER",
        "middle_name": "EKDAHL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "43369",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "43369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524359",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "EKDAHL",
            "middle_name": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.