Individual provider Active NPI

Cordell A Esplin, M.D.09

  • Vascular & Interventional Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1619942216
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
15333 Issued in AZ
Practice address
1800 E Van Buren St
Phoenix, AZ 85006-3742
Phone
(602) 254-2123
Fax
(602) 254-4172
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 15333 AZ
Vascular & Interventional Radiology Physician 2085R0204X 15333 AZ Primary

Addresses

Primary practice location

1800 E Van Buren St
Phoenix, AZ 85006-3742

Mailing address

PO Box 27340
Phoenix, AZ 85061-7340
Phone (602) 943-9200

Other identifiers 3

IdentifierTypeStateIssuer
1Z7077OtherAZHEALTH NET OF AZ
265373MedicaidAZ
AZ0854390OtherAZBCBSAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080428000285 AZ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6002891447 Reassigns benefits to 3 organizations
I20190507001718 UT Practitioner - Interventional Radiology 6002891447 Reassigns benefits to 2 organizations
I20240619001847 GA Practitioner - Diagnostic Radiology 6002891447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15333AZMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jun 4, 2022 Accepting new patients
Modern Vascular of Tucson, LLC Vascular & Interventional Radiology CurrentSince Jun 17, 2020 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Feb 1, 2023 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Feb 1, 2023 Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
Piedmont Providers LLC CurrentSince Apr 11, 2024 Accepting new patients
Bayhealth Radiologists LLC Diagnostic Radiology CurrentSince Mar 15, 2024 Accepting new patients
Physicians Medical Group Vascular & Interventional Radiology CurrentSince Apr 1, 2019 Accepting new patients
Interventional Radiology, LTD Diagnostic Radiology PastSince Nov 2, 1999 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

1625 N Campbell Ave
Tucson, AZ 85719

2171 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 201-4980

26500 Agoura Rd
Ste 102587
Calabasas, CA 91302
Phone (818) 880-8605

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

4624 S Holladay Blvd
Ste 202
Salt Lake Cty, UT 84117
Phone (385) 800-5015

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1619942216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27340",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850617340",
            "telephone_number": "602-943-9200",
            "fax_number": "602-216-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063742",
            "telephone_number": "602-254-2123",
            "fax_number": "602-254-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPLIN",
        "first_name": "CORDELL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.09",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "15333",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "15333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET OF AZ",
            "identifier": "1Z7077",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265373",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0854390",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.