Individual provider Active NPI

Jordan H. Perlow, M.D.

  • Maternal & Fetal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1255390936
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
20808 Issued in AZ
Practice address
901 E Willetta St
Phoenix, AZ 85006-2727
Phone
(602) 239-2647
Fax
(602) 239-5295
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 20808 AZ Primary

Addresses

Primary practice location

901 E Willetta St
Phoenix, AZ 85006-2727

Mailing address

901 E Willetta St
Phoenix, AZ 85006-2727
Phone (602) 239-2647

Other identifiers 2

IdentifierTypeStateIssuer
112475MedicaidAZ
U3715MedicaidNM

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
I20101102001372 AZ Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 3678767753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1300 N 12th St
Ste 500
Phoenix, AZ 85006
Phone (602) 839-2606

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

4200 E Camelback Rd
Ste 202
Phoenix, AZ 85018
Phone (602) 229-2150

1441 N 12th St
Fl 2
Phoenix, AZ 85006
Phone (602) 521-5180

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700

1111 E McDowell Rd
Fl 3
Phoenix, AZ 85006

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1255390936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062727",
            "telephone_number": "602-239-2647",
            "fax_number": "602-239-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062727",
            "telephone_number": "602-239-2647",
            "fax_number": "602-239-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLOW",
        "first_name": "JORDAN",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "20808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112475",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U3715",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.