Individual provider Active NPI

David Allen Fife, DO

  • Psychiatry Physician
  • Tempe, AZ
National Provider Identifier
1659569697
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4722 Issued in AZ
Practice address
6350 S Maple Ave
Tempe, AZ 85283-2857
Phone
(623) 308-2472
Fax
(623) 218-9061
NPI assigned
Oct 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4722 AZ Primary
Psychiatry Physician 2084P0800X O-0784 ID

Addresses

Primary practice location

6350 S Maple Ave
Tempe, AZ 85283-2857

Mailing address

3317 S Higley Rd Ste 114-266
Gilbert, AZ 85297-5454
Phone (623) 308-2472

Other identifiers 1

IdentifierTypeStateIssuer
267520MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, ID2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071030000203 AZ Practitioner - Psychiatry 4789771312 Reassigns benefits to 4 organizations
Practice locations: Tempe, AZ; Snowflake, AZ; Show Low, AZ; Phoenix, AZ; Holbrook, AZ; Heber, AZ; Gilbert, AZ; Eagar, AZ…
I20141216000230 ID Practitioner - Psychiatry 4789771312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3555 S Val Vista Dr
Gilbert, AZ 85297-7323
Phone (480) 728-8000

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-0784IDMDPsychiatry Physician
4722AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Current Accepting new patients
East Valley Psychiatry LLC Psychiatry CurrentSince Jan 11, 2017 Accepting new patients
Connectionsaz, LLC CurrentSince Jan 10, 2010 Accepting new patients
Connectionsaz, LLC CurrentSince Jan 10, 2010 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Connectionsaz, LLC Current Accepting new patients
Kingman Healthcare, Inc CurrentSince May 1, 2021 Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
Kingman Healthcare, Inc CurrentSince May 1, 2021 Accepting new patients
Ubh of Phoenix LLC Past Accepting new patients
A New Leaf, Inc. Past Accepting new patients
A New Leaf, Inc. Past Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients
Mountain Vista Medical Center LP Past Accepting new patients
District Medical Group, Inc Psychiatry Past Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

100 E Code Talkers Dr
Holbrook, AZ 86025
Phone (928) 524-3751

2202 N Stockton Hill Rd
Ste 101
Kingman, AZ 86401
Phone (619) 321-9541

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000

2036 N Gilbert Rd
#2134
Mesa, AZ 85203

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

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

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

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

1500 S White Mountain Rd
Ste 300
Show Low, AZ 85901
Phone (928) 532-1605

2450 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (847) 868-4751

590 S Main St
Snowflake, AZ 85937
Phone (520) 536-7519

6350 S Maple Ave
Tempe, AZ 85283
Phone (480) 345-5400

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

Interoperability endpoints

  • Direct secure messaging: fife.david@direct.azkrmc.md
  • Direct secure messaging: fife.david@st.direct.azkrmc.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dfife2358@direct.valleywisehealth.org

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.

View all 16

Hospital & facility affiliations 2

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": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1659569697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 S HIGLEY RD STE 114-266",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852975454",
            "telephone_number": "623-308-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 S MAPLE AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832857",
            "telephone_number": "623-308-2472",
            "fax_number": "623-218-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFE",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "4722",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "O-0784",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267520",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.