Individual provider Active NPI

Joseph Charles Torkildson, MD

  • Pediatric Hematology & Oncology Physician
  • Mesa, AZ
National Provider Identifier
1710944095
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
58758 Issued in AZ
Practice address
1432 S Dobson Rd Ste 107
Mesa, AZ 85202-4769
Phone
(480) 412-4100
Fax
(480) 412-5154
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 58758 AZ Primary

Addresses

Primary practice location

1432 S Dobson Rd Ste 107
Mesa, AZ 85202-4769

Mailing address

1432 S Dobson Rd Ste 107
Mesa, AZ 85202-4769
Phone (480) 412-4100

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
I20190919000152 AZ Practitioner - Hematology/OncologyPractitioner - Pediatric MedicinePractitioner - Hematology 7911959499 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58758AZMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Sep 1, 2019 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Sep 1, 2019 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Sep 1, 2019 Accepting new patients
Banner-University Medical Group Pediatrics CurrentSince Sep 1, 2019 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Sep 1, 2019 Accepting new patients
Banner Physician Super Specialists Arizona LLC Current Accepting new patients
Banner - University Super Specialists LLC CurrentSince Jan 1, 2020 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Sep 1, 2019 Accepting new patients
Pediatric Hematology Oncology Pediatric Hematology-Oncology Past Accepting new patients
Banner Desert Medical Center Past Accepting new patients

Locations

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

5757 W Thunderbird Rd
Ste E250
Glendale, AZ 85306
Phone (602) 865-4470

1432 S Dobson Rd
Ste 107
Mesa, AZ 85202
Phone (480) 412-4100

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1710944095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024769",
            "telephone_number": "480-412-4100",
            "fax_number": "480-412-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024769",
            "telephone_number": "480-412-4100",
            "fax_number": "480-412-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORKILDSON",
        "first_name": "JOSEPH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "AZ",
            "license": "58758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.