Active NPI
Jessica Eden Fazekas, D.O.
- Diagnostic Radiology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 010710
- Practice address
- 677 N Wilmot Rd
Tucson, AZ 85711-2701 - Phone
- (520) 795-2889
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS16388 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 240861-01 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 25MB08623000 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | 010710 | AZ | Primary |
Addresses
Primary practice location
677 N Wilmot Rd
Tucson, AZ 85711-2701
Mailing address
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Other practice location 1
350 7th St N
Naples, FL 34102-5754
Phone (239) 624-4443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Rowan University School of Osteopathic Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Voorhees, NJ 08043
Phone (520) 795-2889
Voorhees, NJ 08043-3677
Phone (845) 431-4544
Hospital & facility affiliations
- Tucson Medical Center
- Vassar Brothers Medical Center
- Benson Hospital
- Northern Cochise Community Hospital, Inc.
- Northern Dutchess Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.69 of 100
- Quality
- 75.27
- Improvement activities
- 40
- Cost
- 74.3
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010710 | AZ | MD | Diagnostic Radiology Physician |
| OS16388 | FL | MD | Diagnostic Radiology Physician |
| 25MB08623000 | NJ | MD | Diagnostic Radiology Physician |
| 240861-01 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RLC LLC | Neuroradiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Neuroradiology | Current | Accepting new patients |
| Southside Faculty Medical Affiliates University Faculty Practice Corp | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Neuroradiology | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of South Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Radiology Associates of the Main Line P C | Diagnostic Radiology | Past | Accepting new patients |
| Bay Radiology Associates, PL | Diagnostic Radiology | Past | Accepting new patients |
| Main Line Health Imaging LP | Diagnostic Radiology | Past | Accepting new patients |
| Bay Radiology Womens Imaging Center, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Elite Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
677 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 571-9599
901 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 384-3541
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000
8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191
700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
300 Community Dr
Plandome, NY 11030
9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522
1220 Hicksville Rd
Seaford, NY 11783
Networks
- Freedom Health HMO Network
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Longview, TX
- NPI 1699759183
FL
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
FL
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Diagnostic Radiology
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
Neuroradiology
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Diagnostic Radiology Physician
- Panama City, FL
- NPI 1538136395
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Benson, AZ
- NPI 1336118322
-
- Critical Access Hospital
- Willcox, AZ
- NPI 1013060367
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1609938281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112701",
"telephone_number": "520-795-2889"
}
],
"practiceLocations": [
{
"address_1": "350 7th St N",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341025754",
"country_code": "US",
"telephone_number": "239-624-4443",
"fax_number": "239-436-5907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAZEKAS",
"first_name": "JESSICA",
"middle_name": "EDEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS16388",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "240861-01",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MB08623000",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "010710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.