Active NPI
Jeffrey Paul Liles, MD
- Orthopaedic Surgery Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 73224
- Practice address
- 33300 N 32ND Ave Ste 320
Phoenix, AZ 85085-8826 - Phone
- (602) 648-5444
- Fax
- (602) 772-3801
- NPI assigned
- Mar 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | RTL23-1217 | NC | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 73224 | AZ | |
| Orthopaedic Surgery Physician | 207X00000X | 73224 | AZ | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 125072256 | IL |
Addresses
Primary practice location
33300 N 32ND Ave Ste 320
Phoenix, AZ 85085-8826
Mailing address
PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10450 W McDowell Rd
Suite 102
Avondale, AZ 85392-4901
Phone (623) 846-7614
Hospital & facility affiliations
- Honorhealth Sonoran Crossing Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RTL23-1217 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osna PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Loyola University Medical Center | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopedic Specialists of North America, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
10450 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 846-7614
18555 N 79th Ave
Ste E101
Glendale, AZ 85308
Phone (602) 631-3161
14044 W Camelback Rd
Ste 120
Litchfield Park, AZ 85340
Phone (623) 846-7614
14044 W Camelback Rd
Ste 126
Litchfield Park, AZ 85340
Phone (623) 846-7614
33300 N 32nd Ave
Ste 320
Phoenix, AZ 85085
9327 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 631-3166
2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795
2902 W Agua Fria Fwy
Ste 1090
Phoenix, AZ 85027
Phone (620) 648-5444
40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050
14733 W Mountain View Blvd
Bldg F
Surprise, AZ 85374
Phone (602) 892-0917
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
Interoperability endpoints
- jliles76998@direct.luhs.org
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1770812828
-
- Orthopaedic Surgery Physician
- Gilbert, AZ
- NPI 1962292870
-
- Orthopaedic Surgery Physician
- Scottsdale, AZ
- NPI 1104148923
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1265063010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1306340872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80217",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850600217",
"telephone_number": "602-385-2115",
"fax_number": "480-418-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33300 N 32ND AVE STE 320",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850858826",
"telephone_number": "602-648-5444",
"fax_number": "602-772-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILES",
"first_name": "JEFFREY",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-20",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "RTL23-1217",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "AZ",
"license": "73224",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "73224",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "125072256",
"primary": false
}
],
"identifiers": [],
"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 Aug 1, 2024; 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.