Active NPI
John J Kresl, MD, PH.D
- Radiation Oncology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 25703
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 395071 | Other | AZ | AHCCCS |
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
- Radiation Oncology
- Education
- Northwestern University Feinberg Medical School, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiation Oncologists of Central Arizona | Radiation Oncology | Current | Accepting new patients |
| Arizona Digestive Health, PC | Radiation Oncology | Current | 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 | Past | 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
- 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.
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1992981583
Radiation Oncology
-
- Radiation Oncology Physician
- Phoenix, AZ
- NPI 1770736324
-
- Radiation Oncology Physician
- Phoenix, AZ
- NPI 1972628675
-
- Oncology Clinic/Center
- Phoenix, AZ
- NPI 1518253152
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
-
- Rehabilitation Clinic/Center
- Phoenix, AZ
- NPI 1033394507
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
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 1841224870
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.