Individual provider Active NPI

Jill K. Rossinow, M.D.

  • Radiation Oncology Physician
  • Phoenix, AZ
National Provider Identifier
1285812156
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
42009 Issued in AZ
Practice address
5150 N 16TH St
Ste. B232
Phoenix, AZ 85016-3925
Phone
(602) 441-0008
Fax
(866) 571-0383
NPI assigned
Feb 4, 2008
Last updated
May 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 235649 MA
Radiation Oncology Physician 2085R0001X 42009 AZ Primary

Addresses

Primary practice location

5150 N 16TH St
Ste. B232
Phoenix, AZ 85016-3925

Mailing address

5150 N 16TH St
Ste. B232
Phoenix, AZ 85016-3925
Phone (602) 441-0008

Other identifiers 2

IdentifierTypeStateIssuer
1285812156OtherAZBCBS AZ
439764MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235649MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Radiation Therapy Management Services Inc Past Accepting new patients
Arizona Oncology Services Inc Radiation Oncology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1285812156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N 16TH ST",
            "address_2": "STE. B232",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163925",
            "telephone_number": "602-441-0008",
            "fax_number": "866-571-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 N 16TH ST",
            "address_2": "STE. B232",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163925",
            "telephone_number": "602-441-0008",
            "fax_number": "866-571-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSINOW",
        "first_name": "JILL",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MA",
            "license": "235649",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "42009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AZ",
            "identifier": "1285812156",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "439764",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.