Individual provider Active NPI

Judah D Pifer, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Prescott, AZ
National Provider Identifier
1386854925
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
45914 Issued in AZ
Practice address
3655 Crossings Dr
Prescott, AZ 86305-7101
Phone
(928) 778-9250
Fax
(928) 778-9309
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 45914 AZ Primary

Addresses

Primary practice location

3655 Crossings Dr
Prescott, AZ 86305-7101

Mailing address

3655 Crossings Dr
Prescott, AZ 86305-7101
Phone (928) 778-9250

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
I20120405000163 AZ Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 5496916199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arizona College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Judah D Pifer MD PLLCGroup PAC ID 3274770706, 2 clinicians

Practice addresses (Care Compare)

3655 Crossings Dr
Prescott, AZ 86305-7101
Phone (928) 778-9250

Hospital & facility affiliations

  • Mountain Valley Home for Health Home health agency, Prescott Valley, AZ, CCN 037456
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement33
Lower limb (leg) arthroscopy (minimally invasive joint repair)63
Upper limb (arm) arthroscopy (minimally invasive joint repair)122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45914AZMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Judah D Pifer MD, PLLC Orthopaedic Surgery CurrentSince Mar 18, 2013 Accepting new patients

Locations

3655 Crossings Dr
Prescott, AZ 86305
Phone (480) 305-0034

Organizations & group practices 1

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 4

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1386854925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 CROSSINGS DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057101",
            "telephone_number": "928-778-9250",
            "fax_number": "928-778-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 CROSSINGS DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057101",
            "telephone_number": "928-778-9250",
            "fax_number": "928-778-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIFER",
        "first_name": "JUDAH",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "AZ",
            "license": "45914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.