NPIMap

Organization Active NPI

Mayo Clinic Arizona

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1699520049
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAYO CLINIC ARIZONA
Practice address
5881 E Mayo Blvd # 1-503
Phoenix, AZ 85054-4504
Phone
(480) 342-1869
NPI assigned
Apr 19, 2024
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Jeffrey Jackson
Title
Cfo
Phone
(480) 574-3055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5881 E Mayo Blvd # 1-503
Phoenix, AZ 85054-4504

Mailing address

5777 E Mayo Blvd
Phoenix, AZ 85054-4502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240613000739 AZ DME Supplier - Independently-Practicing Occupational TherapistDME Supplier - Independently-Practicing Physical Therapist 7012829930 Practice locations: Phoenix, AZ

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Wade Wernecke MD11 organizations share this tax ID, including this one
Part of
Wade Wernecke MD

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

16848 E Palisades Blvd
Fountain Hills, AZ 85268
Phone (480) 837-1600

3511 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 857-8338

5701 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-2000

5881 E Mayo Blvd
#1503
Phoenix, AZ 85054
Phone (480) 342-1869

5881 E Mayo Blvd
#3105
Phoenix, AZ 85054
Phone (480) 342-4830

5881 E Mayo Blvd
Ste 1-304
Phoenix, AZ 85054
Phone (480) 342-4100

4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877

Practitioners & affiliated clinicians

Practitioners 1,964

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,964

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1699520049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 E MAYO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850544502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 E MAYO BLVD # 1-503",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850544504",
            "telephone_number": "480-342-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CLINIC ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "480-574-3055"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.