Individual provider Active NPI

Clifford O Janke, M.D

  • Emergency Medicine Physician
  • Tucson, AZ
National Provider Identifier
1275574196
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
30653 Issued in AZ
Practice address
1601 W. St. Mary'S Rd
Tucson, AZ 85745-2623
Phone
(520) 872-3000
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K6766 TX
Emergency Medicine Physician 207P00000X 30653 AZ Primary

Addresses

Primary practice location

1601 W. St. Mary'S Rd
Tucson, AZ 85745-2623

Mailing address

630 N. Alvernon Way
Suite 220
Tucson, AZ 85711-0000
Phone (520) 647-8850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20060110000120 AZ Practitioner - Emergency Medicine 9133142789 Reassigns benefits to 1 organization
I20070131000661 TX Practitioner - Emergency Medicine 9133142789 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1720OKMDChiropractor
30653AZMDEmergency Medicine Physician
K6766TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Family Practice & Urgent Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Emergency Services of Texas PA Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Northwest HBP Medical Services LLC Emergency Medicine CurrentSince Oct 15, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Mar 29, 2017 Accepting new patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 27, 2018 Accepting new patients
Saguaro Emergency Physicians Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients
Emergency Room Associates Past Accepting new patients
Swea, P.C. Emergency Medicine Past Accepting new patients
Trans Pecos Emergency Physicians Emergency Medicine Past Accepting new patients
HCN Ep Horizon City, LLC Past Accepting new patients

Locations

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

6110 Eastridge Rd
Odessa, TX 79762
Phone (432) 272-1072

Interoperability endpoints

  • Direct secure messaging: clifford.janke@115443077021700.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/18606/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cliff.janke.1@18606.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1275574196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N. ALVERNON WAY",
            "address_2": "SUITE 220",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857110000",
            "telephone_number": "520-647-8850",
            "fax_number": "520-647-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W. ST. MARY'S RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452623",
            "telephone_number": "520-872-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKE",
        "first_name": "CLIFFORD",
        "middle_name": "O",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K6766",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "30653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.