Individual provider Active NPI

Jennifer Ross Comptis, MD

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1528639317
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R81100 Issued in AZ
Practice address
4150 N 108TH Ave Ste 142
Phoenix, AZ 85037-5467
Phone
(623) 322-1145
Fax
(623) 466-9552
NPI assigned
Jul 2, 2021
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 20-362 WI
Student in an Organized Health Care Education/Training Program 390200000X FL
Internal Medicine Physician 207R00000X R81100 AZ Primary

Addresses

Primary practice location

4150 N 108TH Ave Ste 142
Phoenix, AZ 85037-5467

Mailing address

165 NW 96TH Ter Apt 3-305
Pembroke Pines, FL 33024-6281

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R81100AZMDInternal Medicine Physician
20-362WIMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua Lampert MD PA PastSince Jul 1, 2021 Accepting new patients

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, 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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1528639317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 NW 96TH TER APT 3-305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 N 108TH AVE STE 142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375467",
            "telephone_number": "623-322-1145",
            "fax_number": "623-466-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS COMPTIS",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "20-362",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R81100",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.