Jason E Gittman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10754 Issued in AZ

Practice address

11045 N 19TH Ave
Phoenix, AZ 85029-4816

Phone

(623) 849-1869

Fax

(623) 849-5880

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Rutgers New Jersey Medical School, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Regenesis Healthcare IncGroup PAC ID 1456700905, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Regenesis Healthcare, Inc

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1275034183
  Medicare reassignment Care Compare group NPD
• Whispering Palms Medical Inc

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1821314998
  Medicare reassignment NPD
• Internal Medicine Primary Care Speciailists, PLLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1881722957
  NPD (past) Authorized official
• Hybritech Medical Group Corporation

  • Assisted Living Facility
  • Scottsdale, AZ
  • NPI 1528342144
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1255469599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 N 40TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292969",
            "telephone_number": "602-588-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11045 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294816",
            "telephone_number": "623-849-1869",
            "fax_number": "623-849-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTMAN",
        "first_name": "JASON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "10754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z152056",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gita Jafari-Raske, M.D., PLLC
• William David Gitchell, OD
• Peninah N Gitonga, PMHNP
• Jeffrey Scott Gitt, D.O.
• Reaghan Gittin, LAC
• Katrina Giuffrida, MS, CCC-SLP
• Claire Elizabeth Giuliano, OTD
• Given Behavioral Care LLC
• George Givens
• Caitlin M Gizler, MAS, LMFT

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.

Verify at the official NPI Registry.