Jacqueline Koshorek, D.O

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

009660 Issued in AZ

Practice address

15255 N 40TH St
Suite 127/129, Room 1
Phoenix, AZ 85032

Phone

(602) 759-9438

NPI assigned

Jun 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 5, 2026 through May 5, 2028

Specialty

Neurology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
• Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Honorhealth Ambulatory

  • Surgery Physician
  • Scottsdale, AZ
  • NPI 1083851448
  NPD
• Honorhealth Ambulatory

  dba HonorHealth Research Institute

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1407050917
  NPD
• Honorhealth Ambulatory

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1891518130
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Honorhealth

  dba HonorHealth Scottsdale Shea Medical Center

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1386608859
  Care Compare affiliation
• Honorhealth

  dba HonorHealth John C. Lincoln Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation
• Honorhealth

  dba HonorHealth Scottsdale Osborn Medical Center

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1811951429
  Care Compare affiliation

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1346690252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 N HAYDEN RD",
            "address_2": "SUITE 123 PMB 283",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 N 40TH ST",
            "address_2": "SUITE 127/129, ROOM 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-759-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHOREK",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "009660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Koryakos, MD
• Koryakos Koryakos Jr.
• Kelli Christine Kosako Yost, MD
• Allie Kosena, WHNP-BC
• Courtney C Koshar, MD
• Jeannie Kosint
• Zackary Kosisky, OD
• Danielle Koski
• Kyle L Koski, PA-C
• Sandra Koski

• Neurology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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; Opt Out Affidavits.
• 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.

Verify at the official NPI Registry.