Organization Active NPI

Central Arizona Urologists, LTD

Doing business as Central Arizona Urologists

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1588680698
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTRAL ARIZONA UROLOGISTS, LTD
Doing business as
Central Arizona Urologists
Practice address
9100 N 2ND St Ste 201
Phoenix, AZ 85020
Phone
(602) 242-1556
Fax
(602) 242-1597
NPI assigned
Jul 14, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. James R Fishman, MDNPI 1417929506
Title
Doctor
Phone
(602) 242-1556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AZ Primary

Addresses

Primary practice location

9100 N 2ND St Ste 201
Phoenix, AZ 85020

Mailing address

9100 N 2ND St Ste 201
Phoenix, AZ 85020-2450
Phone (602) 242-1556

Other names 1

  • CENTRAL ARIZONA UROLOGISTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507001173 AZ Part B Supplier - Clinic/Group Practice 0143219816 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0526196Central Arizona Urologists9100 N 2ND St Ste 201, Phoenix, AZ 85020Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1728 W Glendale Ave
Ste 204
Phoenix, AZ 85021
Phone (602) 242-1556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588680698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 N 2ND ST STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202450",
            "telephone_number": "602-242-1556",
            "fax_number": "602-242-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 N 2ND ST STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-242-1556",
            "fax_number": "602-242-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARIZONA UROLOGISTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "602-242-1556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL ARIZONA UROLOGISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.