Active NPI
James R Siefer, DO
- Urology Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 1930
- Practice address
- 485 S Dobson Rd
Suite 103
Chandler, AZ 85224-5603 - Phone
- (480) 963-2026
- Fax
- (480) 963-5841
- NPI assigned
- Jan 17, 2006
- Last updated
- Jun 7, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 1930 | AZ | Primary |
Addresses
Primary practice location
485 S Dobson Rd
Suite 103
Chandler, AZ 85224-5603
Mailing address
2730 S Val Vista Dr
BLDG.#13, Suite 177
Gilbert, AZ 85295-1675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 921694 | Medicaid | AZ |
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
- Urology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36493 N Gantzel Rd
Suite 100
San Tan Valley, AZ 85140-7345
Phone (480) 394-0200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1930 | AZ | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona State Urological Institute LLC | Urology | Current | Accepting new patients |
| James R Siefer DO PLC | Urology | Past | Accepting new patients |
Locations
1445 W Chandler Blvd
Ste A5
Chandler, AZ 85224
Phone (480) 360-4009
2730 S Val Vista Dr
Bldg 13
Gilbert, AZ 85295
2730 S Val Vista Dr
Ste 177
Gilbert, AZ 85295
Phone (480) 504-0127
21300 N John Wayne Pkwy
Ste 127
Maricopa, AZ 85139
6424 E Broadway Rd
Ste 104
Mesa, AZ 85206
Phone (480) 485-5331
4530 E Ray Rd
Ste 178
Phoenix, AZ 85044
Phone (480) 759-1040
36493 N Gantzel Rd
Ste 100
San Tan Valley, AZ 85140
Interoperability endpoints
- jsiefer@363.securemail.prognocis.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urology Physician
- Gilbert, AZ
- NPI 1144231895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1508846627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 S VAL VISTA DR",
"address_2": "BLDG.#13, SUITE 177",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 S DOBSON RD",
"address_2": "SUITE 103",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245603",
"telephone_number": "480-963-2026",
"fax_number": "480-963-5841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEFER",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "1930",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "921694",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.