Individual provider Active NPI

John J Kresl, MD, PH.D

  • Radiation Oncology Physician
  • Phoenix, AZ
National Provider Identifier
1366418675
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25703 Issued in AZ
Practice address
4611 E. Shea Blvd
Ste. 120
Phoenix, AZ 85028-4254
Phone
(602) 441-3845
Fax
(602) 464-9769
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25703 AZ
Radiation Oncology Physician 2085R0001X 25703 AZ Primary

Addresses

Primary practice location

4611 E. Shea Blvd
Ste. 120
Phoenix, AZ 85028-4254

Mailing address

4611 E. Shea Blvd
Ste 120
Phoenix, AZ 85028-4254
Phone (602) 441-3845

Other identifiers 1

IdentifierTypeStateIssuer
395071OtherAZAHCCCS

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
I20040406001328 AZ Practitioner - Radiation Oncology 7012900905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Northwestern University Feinberg Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

4611 E Shea Blvd
Suite 120
Phoenix, AZ 85028-4255
Phone (623) 547-2600

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncologists of Central Arizona Radiation Oncology CurrentSince Nov 25, 2008 Accepting new patients
Arizona Digestive Health, PC Radiation Oncology CurrentSince Aug 1, 2025 Accepting new patients
Banner Cancer Center Specialists LLC Past Accepting new patients
Honorhealth Ambulatory Past Accepting new patients
Arizona Oncology Associates PC Radiation Oncology Past Accepting new patients
Arizona Oncology Services Inc Radiation Oncology Past Accepting new patients
Valley Rehabilitation Associates, Inc PastSince Mar 1, 2008 Accepting new patients
Mayo Clinic Past Accepting new patients

Locations (25 of 32)

3624 W Anthem Way
Ste C122
Anthem, AZ 85086
Phone 62343457483

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

2450 E Guadalupe Rd
Ste 101
Gilbert, AZ 85234
Phone (480) 398-8456

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

7410 N Zanjero Blvd
Ste 100
Glendale, AZ 85305

5601 W Eugie Ave
Ste 106
Glendale, AZ 85304

6320 W Union Hills Dr
Ste 2600B
Glendale, AZ 85308
Phone (602) 942-5600

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

7410 N Zanjero Blvd
Glendale, AZ 85305
Phone (602) 375-6230

13555 W McDowell Rd
Ste 206
Goodyear, AZ 85395
Phone (602) 806-7610

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

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1500 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3578

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

4611 E Shea Blvd
Ste 120
Phoenix, AZ 85028
Phone (602) 441-3845

300 W Clarendon Ave
Ste 350
Phoenix, AZ 85013
Phone (435) 251-2208

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

Interoperability endpoints

  • Direct secure messaging: jkresl@pcroc.direct.varian.com

Organizations & group practices 8

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 1

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1366418675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E. SHEA BLVD",
            "address_2": "STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284254",
            "telephone_number": "602-441-3845",
            "fax_number": "602-464-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 E. SHEA BLVD",
            "address_2": "STE. 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284254",
            "telephone_number": "602-441-3845",
            "fax_number": "602-464-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESL",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD, PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "25703",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "25703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "395071",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.