Individual provider Active NPI

Jason Michael Cobb, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1386870376
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
71554 Issued in AZ
Practice address
5110 E Southern Ave Ste 107
Mesa, AZ 85206-2790
Phone
(480) 295-8072
Fax
(415) 252-7176
NPI assigned
Jun 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2012-0165 NM
Internal Medicine Physician 207R00000X LL18732 OR
Internal Medicine Physician 207R00000X 71554 AZ Primary

Addresses

Primary practice location

5110 E Southern Ave Ste 107
Mesa, AZ 85206-2790

Mailing address

5110 E Southern Ave Ste 107
Mesa, AZ 85206-2790
Phone (480) 295-8072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120713000421 NM Practitioner - Internal Medicine 3577728740 Reassigns benefits to 1 organization
I20240513003272 AZ Practitioner - Internal Medicine 3577728740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iora Senior Health LLCGroup PAC ID 0143520189, 117 clinicians

Practice addresses (Care Compare)

5110 E Southern Ave
Suite 107
Mesa, AZ 85206-2790
Phone (888) 405-6396

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71554AZMDInternal Medicine Physician
MD2012-0165NMMDInternal Medicine Physician
LL18732ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Jul 20, 2012 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Jul 20, 2012 Accepting new patients
Iora Senior Health, LLC Internal Medicine CurrentSince Mar 16, 2024 Accepting new patients
Iora Senior Health, LLC Internal Medicine Current Accepting new patients
Iora Senior Health, LLC Internal Medicine CurrentSince Mar 16, 2024 Accepting new patients
Iora Senior Health, LLC Internal Medicine Past Accepting new patients

Locations

5110 E Southern Ave
Ste 107
Mesa, AZ 85206
Phone (480) 295-8072

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

4005 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 462-6000

3777 NM Hwy 528 NE
Rio Rancho, NM 87144
Phone (505) 404-2590

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1386870376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 E SOUTHERN AVE STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062790",
            "telephone_number": "480-295-8072",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 E SOUTHERN AVE STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062790",
            "telephone_number": "480-295-8072",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2012-0165",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "LL18732",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "71554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.