NPIMap

Individual provider Active NPI

Justin Jay Stenquist, M.D.

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1285096503
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
59070 Issued in AZ
Practice address
7233 E Baseline Rd Ste 126
Mesa, AZ 85209-5007
Phone
(480) 699-2222
Fax
(480) 699-3033
NPI assigned
Mar 25, 2016
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 59070 AZ Primary

Addresses

Primary practice location

7233 E Baseline Rd Ste 126
Mesa, AZ 85209-5007

Mailing address

7233 E Baseline Rd Ste 126
Mesa, AZ 85209-5007
Phone (480) 699-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191001002937 AZ Practitioner - Family Practice 5597095760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family First Physicians PLLCGroup PAC ID 3678588100, 3 clinicians

Practice addresses (Care Compare)

2345 E Southern Ave
Suite 101
Mesa, AZ 85204-5419
Phone (480) 893-2345

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Jul 3, 2021 Accepting new patients
Allen Family Medicine PLLC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Family First Physicians PLLC Family Medicine CurrentSince Nov 1, 2021 Accepting new patients

Locations

1760 E Pecos Rd
Ste 102
Gilbert, AZ 85295
Phone (480) 690-8412

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

2345 E Southern Ave
#101
Mesa, AZ 85204
Phone (480) 893-2345

2345 E Southern Ave
Ste 101
Mesa, AZ 85204
Phone (480) 893-2345

7233 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (480) 699-2222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JADCCA

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kind Hearts Hospice, Inc.Phoenix, AZ, CCN 001567 Hospice W-2 Managing Employee Mar 4, 2026
Sapphire HospiceChandler, AZ, CCN 031796 Hospice Contracted Managing Employee May 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1285096503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 E BASELINE RD STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095007",
            "telephone_number": "480-699-2222",
            "fax_number": "480-699-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 E BASELINE RD STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095007",
            "telephone_number": "480-699-2222",
            "fax_number": "480-699-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENQUIST",
        "first_name": "JUSTIN",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "59070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.