Southwest Allergy Institute PLLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

SOUTHWEST ALLERGY INSTITUTE PLLC

Practice address

1328 E Marconi Ave
Phoenix, AZ 85022-3235

Phone

(602) 349-0929

NPI assigned

Nov 5, 2025

Organization subpart

No

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

Authorized official

Name

Jacob Tyler MadduxNPI 1760839211

Title

MD

Phone

(602) 349-0929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Maddux, M.D.

  • Allergy & Immunology Physician
  • Peoria, AZ
  • NPI 1760839211
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1295605335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198877 W UNION HILLS DR",
            "address_2": "SUITE 200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "602-349-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 E MARCONI AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223235",
            "telephone_number": "602-349-0929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8877 W Union Hills Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853823016",
            "country_code": "US",
            "telephone_number": "602-349-0929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHWEST ALLERGY INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "MADDUX",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "602-349-0929"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southwest Accident & Injury Medical Center ,II LTD
• Southwest Associates of Neurosurgery, PLLC
• Southwest Audiology Inc
• Southwest Autism Research and Resource Center
• Southwest Autism Research and Resource Center
• Southwest Autism Research and Resource Center

• Allergy & Immunology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Allergy & Immunology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.