Individual provider Active NPI

James R Siefer, DO

  • Urology Physician
  • Chandler, AZ
National Provider Identifier
1508846627
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1930 Issued in AZ
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
921694MedicaidAZ

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
I20050507000043 AZ Practitioner - Urology 6406896547 Reassigns benefits to 1 organization

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
Arizona State Urological Institute LLCGroup PAC ID 7719962000, 17 clinicians

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

LicenseStateTypeSpecialty
1930AZMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona State Urological Institute LLC Urology CurrentSince May 1, 2012 Accepting new patients
James R Siefer DO PLC Urology PastSince Jun 1, 2007 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.