Individual provider Active NPI

Ilya A Volfson, M.D.

  • Urology Physician
  • Phoenix, AZ
National Provider Identifier
1336181205
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
50144 Issued in AZ
Practice address
4530 E Ray Rd Ste 128
Phoenix, AZ 85044-6096
Phone
(480) 394-0200
Fax
(480) 394-0202
NPI assigned
Jun 12, 2006
Last updated
Jun 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD 428954 PA
Urology Physician 208800000X 50144 AZ Primary

Addresses

Primary practice location

4530 E Ray Rd Ste 128
Phoenix, AZ 85044-6096

Mailing address

2730 S Val Vista Dr
BLDG 13 Ste 177
Gilbert, AZ 85295-1683
Phone (480) 394-0200

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
I20151103001536 AZ Practitioner - Urology 6709829476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Albany Medical College of Union University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona State Urological Institute LLCGroup PAC ID 7719962000, 17 clinicians

Practice addresses (Care Compare)

2730 S Val Vista Dr
Suite 177
Gilbert, AZ 85295-1683
Phone (480) 394-0200

2730 S Val Vista Dr BLDG
13 Suite 177
Gilbert, AZ 85295-1675

910 E Pecos Rd
Chandler, AZ 85225-2461
Phone (480) 394-0200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50144AZMDUrology Physician
MD 428954PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona State Urological Institute LLC Urology CurrentSince Sep 2, 2015 Accepting new patients
Arizona Oncology Associates, PC Past Accepting new patients

Locations

1445 W Chandler Blvd
Ste A5
Chandler, AZ 85224
Phone (480) 360-4009

2730 S Val Vista Dr
Bldg 13
Gilbert, AZ 85295

2730 S Val Vista Dr
Ste 177
Gilbert, AZ 85295
Phone (480) 504-0127

21300 N John Wayne Pkwy
Ste 127
Maricopa, AZ 85139

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

4530 E Ray Rd
Ste 178
Phoenix, AZ 85044
Phone (480) 759-1040

36493 N Gantzel Rd
Ste 100
San Tan Valley, AZ 85140

Interoperability endpoints

  • Direct secure messaging: ivolfson@363.securemail.prognocis.com

Organizations & group practices 2

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 6

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1336181205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR",
            "address_2": "BLDG 13 STE 177",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951683",
            "telephone_number": "480-394-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E RAY RD STE 128",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446096",
            "telephone_number": "480-394-0200",
            "fax_number": "480-394-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLFSON",
        "first_name": "ILYA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD 428954",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "50144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.