Active NPI
Francisco John G Peralta, M.D.
- Hospitalist Physician
- Phoenix, AZ
National Provider Identifier
1487610499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 29843
- Practice address
- 10835 North 25TH Avenue
Suite 115
Phoenix, AZ 85029-3452 - Phone
- (602) 789-0344
- Fax
- (602) 789-8389
- NPI assigned
- Apr 26, 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 29843 | AZ | Primary |
| Internal Medicine Physician | 207R00000X | 29843 | AZ |
Addresses
Primary practice location
10835 North 25TH Avenue
Suite 115
Phoenix, AZ 85029-3452
Mailing address
10835 North 25TH Avenue
Suite 115
Phoenix, AZ 85029-3452
Phone (602) 789-0344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616914-01 | Medicaid | AZ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Assoc in Internal Med | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0001283
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.
-
- Internal Medicine Physician
- Clairton, PA
- NPI 1003802414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1487610499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10835 NORTH 25TH AVENUE",
"address_2": "SUITE 115",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293452",
"telephone_number": "602-789-0344",
"fax_number": "602-789-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10835 NORTH 25TH AVENUE",
"address_2": "SUITE 115",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293452",
"telephone_number": "602-789-0344",
"fax_number": "602-789-8389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "FRANCISCO JOHN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "29843",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "29843",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "616914-01",
"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 May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.