Individual provider Active NPI

Aureliano E Cifuentes, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Tempe, AZ
National Provider Identifier
1679565519
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
AZ11483 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
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X AZ11483 AZ Primary

Addresses

Primary practice location

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

Mailing address

2727 W. Baseline Rd.
Suite 8
Tempe, AZ 85283
Phone (602) 323-0904

Other identifiers 9

IdentifierTypeStateIssuer
0400655OtherAZUHC PROVIDER ID
2154623OtherAZAETNA PROVIDER ID
418039MedicaidAZ
98014-189OtherAZGREAT WEST PROVIDER ID
AZ0714680OtherAZBC/BS PROVIDER ID
750125OtherAZHUMANA
99545OtherAZPACIFICARE
IZ8080OtherAZHEALTHNET
6569834003OtherAZCIGNA

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
I20100511000535 AZ Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Geriatric Medicine 3971649633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, Geriatric Medicine
Education
Other, 1970
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)

2727 W Baseline Rd
Tempe, AZ 85283-1068
Phone (602) 323-0904

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AZ11483AZMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Medicine LLC Family Medicine CurrentSince May 1, 2016 Accepting new patients
American Family Medicine LLC CurrentSince May 1, 2016 Accepting new patients
Gila Internal Medicine & Geriatric P C CurrentSince Mar 1, 2002 Accepting new patients
Malik MD Clinic, LLC Family Medicine Past Accepting new patients
Boys and Girls Pediatric PC Past Accepting new patients
Hospitalists of Arizona, LLC Internal Medicine Past Accepting new patients

Locations

636 W Southern Ave
Mesa, AZ 85210
Phone (480) 969-5817

1742 W Bethany Home Rd
Phoenix, AZ 85015
Phone (310) 722-9094

303 E Baseline Rd
Ste 301
Phoenix, AZ 85042
Phone (602) 323-0904

1514 W Thomas Rd
Phoenix, AZ 85015
Phone (602) 264-2528

448 E Southern Ave
Phoenix, AZ 85040
Phone (310) 722-9094

4616 N 51st Ave
Ste 102
Phoenix, AZ 85031
Phone (310) 722-9094

2727 W Baseline Rd
Ste 11
Tempe, AZ 85283
Phone (602) 323-0904

1315 W Southern Ave
Tempe, AZ 85282
Phone (480) 545-1100

2727 W Baseline Rd
Ste 8
Tempe, AZ 85283
Phone (602) 323-0904

Interoperability endpoints

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

Organizations & group practices 6

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1679565519",
    "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": "85283",
            "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",
        "first_name": "AURELIANO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "AZ11483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER ID",
            "identifier": "0400655",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "2154623",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418039",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST PROVIDER ID",
            "identifier": "98014-189",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "AZ0714680",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "750125",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "99545",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "IZ8080",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6569834003",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.