Individual provider Active NPI

Clayton R Polowy, MD

  • Hematology & Oncology Physician
  • Mesa, AZ
National Provider Identifier
1336112119
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
32750 Issued in AZ
Practice address
1432 S Dobson Rd
106
Mesa, AZ 85202-4769
Phone
(480) 969-3637
Fax
(480) 969-6568
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 32750 AZ Primary

Addresses

Primary practice location

1432 S Dobson Rd
106
Mesa, AZ 85202-4769

Mailing address

PO Box 6423
Chandler, AZ 85246-6423

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609000281 AZ Practitioner - Medical OncologyPractitioner - Hematology/Oncology 2668455106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
State University of New York at Buffalo School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ironwood Physicians PCGroup PAC ID 3577454842, 115 clinicians

Practice addresses (Care Compare)

1432 S Dobson Rd
Suite 106
Mesa, AZ 85202-4769
Phone (480) 969-3637

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Physicians, PC Hematology & Oncology CurrentSince Dec 15, 2011 Accepting new patients
Ironwood Physicians, PC Hematology & Oncology CurrentSince Dec 15, 2011 Accepting new patients
Desert Oncology Associates LLP Hematology & Oncology PastSince Apr 5, 2010 Accepting new patients
Clayton R Polowy MD PC Hematology & Oncology PastSince May 5, 2004 Accepting new patients

Locations

695 S Dobson Rd
Chandler, AZ 85224
Phone (480) 821-2823

685 S Dobson Rd
Chandler, AZ 85224
Phone (480) 324-5220

3855 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 245-6288

3645 S Rome St
Ste 209
Gilbert, AZ 85297
Phone (480) 890-7705

1432 S Dobson Rd
Ste 106
Mesa, AZ 85202
Phone (480) 969-3637

10238 E Hampton Ave
Ste 504
Mesa, AZ 85209
Phone (480) 380-7897

6111 E Arbor Ave
Mesa, AZ 85206
Phone (480) 981-1326

6424 E Broadway Rd
Ste 104
Mesa, AZ 85206
Phone (480) 485-5331

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.

Hospital & facility affiliations 3

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1336112119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024769",
            "telephone_number": "480-969-3637",
            "fax_number": "480-969-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOWY",
        "first_name": "CLAYTON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "32750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.