Individual provider Active NPI

Daniel M. Jondle, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
National Provider Identifier
1649255449
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35979 Issued in AZ
Practice address
1300 N 12TH St
Suite 300
Phoenix, AZ 85006-2848
Phone
(602) 687-7468
Fax
(602) 687-7683
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME94604 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 86942 OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X DR42367 CO
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35979 AZ Primary

Addresses

Primary practice location

1300 N 12TH St
Suite 300
Phoenix, AZ 85006-2848

Mailing address

3260 N Hayden Rd Ste 112
Scottsdale, AZ 85251-6650
Phone (602) 687-7468

Other identifiers 2

IdentifierTypeStateIssuer
317047OtherAZGROUP MEDICAID NUMBER
120390OtherAZGROUP MEDICARE NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070710000069 AZ Practitioner - Pathology 3870693674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Iowa, RJ & L Carver College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

3260 N Hayden Rd
Suite 112
Scottsdale, AZ 85251-6650
Phone (602) 687-7468

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.75 of 100Reported as group
Quality
60.45
Promoting interoperability
97
Improvement activities
40
Cost
81.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR42367COMDAnatomic Pathology & Clinical Pathology Physician
ME94604FLMDAnatomic Pathology & Clinical Pathology Physician
86942OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Digestive Health, PC CurrentSince Dec 1, 2009 Accepting new patients
Capstone Pathology PLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 19, 2023 Accepting new patients

Locations

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

1300 N 12th St
Ste 300
Phoenix, AZ 85006
Phone (602) 687-4768

3020 E Camelback Rd
Ste 301
Phoenix, AZ 85016

3260 N Hayden Rd
Ste 112
Scottsdale, AZ 85251
Phone (602) 264-9100

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1649255449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 N HAYDEN RD STE 112",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516650",
            "telephone_number": "602-687-7468",
            "fax_number": "602-264-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-687-7468",
            "fax_number": "602-687-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONDLE",
        "first_name": "DANIEL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME94604",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "86942",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "DR42367",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "35979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "317047",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "120390",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.