Active NPI
Jared Leb Klein, MD
- Hematology & Oncology Physician
- Scottsdale, AZ
National Provider Identifier
1568449437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 43264
- Practice address
- 13400 E Shea Blvd
Scottsdale, AZ 85259-5452 - Phone
- (480) 301-8000
- NPI assigned
- Dec 30, 2005
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 0361117211 | IL | |
| Hematology & Oncology Physician | 207RH0003X | 49740 | WI | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 36111721 | IL | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 49740 | WI | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 4301066665 | MI | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 23253 | CO | |
| Hematology & Oncology Physician | 207RH0003X | 43264 | AZ | Primary |
Addresses
Primary practice location
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Mailing address
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z138298 | Other | AZ | ARIZONA MEDICARE FARGO PART B |
| 36111721 | Medicaid | IL | |
| 525493 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0361117211 | IL | MD | Hematology & Oncology Physician |
| 49740 | WI | MD | Hematology & Oncology Physician |
| 23253 | CO | MD | Pediatric Hematology & Oncology Physician |
| 36111721 | IL | MD | Pediatric Hematology & Oncology Physician |
| 4301066665 | MI | MD | Pediatric Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1568449437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595452",
"telephone_number": "480-301-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595452",
"telephone_number": "480-301-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "JARED",
"middle_name": "LEB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "0361117211",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WI",
"license": "49740",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "IL",
"license": "36111721",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "WI",
"license": "49740",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "MI",
"license": "4301066665",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "CO",
"license": "23253",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AZ",
"license": "43264",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA MEDICARE FARGO PART B",
"identifier": "Z138298",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36111721",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "525493",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.