Enrique M Cifuentes, Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42048 Issued in AZ

Practice address

2727 W Baseline Rd
Suite 8
Tempe, AZ 85283-1067

Phone

(602) 323-0904

Fax

(602) 243-7616

NPI assigned

Feb 6, 2007

Last updated

Dec 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gila Internal Medicine and Geriatric P CGroup PAC ID 3072598713, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBHHAD

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.

• Gila Internal Medicine & Geriatric P C

  • Exclusive Provider Organization
  • Tempe, AZ
  • NPI 1609921378
  Medicare reassignment Care Compare group NPD
• American Family Medicine LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1477908085
  Medicare reassignment NPD
• American Family Medicine LLC

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1164287124
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1598804510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W BASELINE RD",
            "address_2": "SUITE 8",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831068",
            "telephone_number": "602-323-0904",
            "fax_number": "602-243-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W BASELINE RD",
            "address_2": "SUITE 8",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831067",
            "telephone_number": "602-323-0904",
            "fax_number": "602-243-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIFUENTES, JR.",
        "first_name": "ENRIQUE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "42048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ciany, OT
• Camryn Noel Ciaramella
• Arun R Cibrario, BS, RBT
• Kristina Ann Cieply, PA-C
• Aureliano E Cifuentes, MD
• Cigna Health Care of Arizona Inc. (CMG Tempe Healthcare Center, Tempe)
• Cigna Health Care of Arizona Inc. (EVERNORTH Care Group CJ Harris Multi-Specialty Center)
• David Richard Cilladi, PTA, ATC
• Melissa Cincotta
• Thomas Joesph Cipriano, DDS,MS

• Family Medicine Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.

Verify at the official NPI Registry.