Active NPI
Maritza Ivette Irizarry, M.D.
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1477734531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 21934
- Practice address
- 5040 N 15TH Ave
Suite 104
Phoenix, AZ 85015-3328 - Phone
- (623) 245-0505
- Fax
- (623) 245-3475
- NPI assigned
- Nov 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21934 | AZ | Primary |
Addresses
Primary practice location
5040 N 15TH Ave
Suite 104
Phoenix, AZ 85015-3328
Mailing address
20701 N Scottsdale Rd
Suite 107-427
Scottsdale, AZ 85255-6413
Phone (623) 245-0505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161802 | Other | AZ | AHCCCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8220 | PR | MD | Psychologist |
| 21934 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Pediatrics Payment Processing, LLC | Current | Accepting new patients | |
| Elite ENT | Past | Accepting new patients | |
| Maritza I. Irizarry MD Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDAIAD
Organizations & group practices 3
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.
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- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1063138196
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- Otolaryngology Physician
- Phoenix, AZ
- NPI 1457801300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1477734531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20701 N SCOTTSDALE RD",
"address_2": "SUITE 107-427",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852556413",
"telephone_number": "623-245-0505",
"fax_number": "623-245-3475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 N 15TH AVE",
"address_2": "SUITE 104",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850153328",
"telephone_number": "623-245-0505",
"fax_number": "623-245-3475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY",
"first_name": "MARITZA",
"middle_name": "IVETTE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-16",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "21934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "161802",
"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 Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.