Individual provider Active NPI

Jaron Joseph Fischbeck, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1760497325
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34353 Issued in AZ
Practice address
16611 S 40TH St
Suite 120
Phoenix, AZ 85048-0562
Phone
(480) 706-4100
Fax
(480) 706-2600
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34353 AZ Primary

Addresses

Primary practice location

16611 S 40TH St
Suite 120
Phoenix, AZ 85048-0562

Mailing address

16611 S. 40TH St.,
Ste. 120
Phoenix, AZ 85048
Phone (480) 706-4100

Other identifiers 1

IdentifierTypeStateIssuer
973950MedicaidAZ

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
I20051108000947 AZ Practitioner - Family Practice 1658399654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kachina Family Practice PAGroup PAC ID 3274427802, 4 clinicians

Practice addresses (Care Compare)

16611 S 40TH St
Suite 120
Phoenix, AZ 85048-0563
Phone (480) 706-4100

Merit-based Incentive Payment System (MIPS)

Final score
93.27 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
77.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kachina Family Practice PA Family Medicine CurrentSince Jul 2, 2007 Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Southwest Phoenix Urgent Care LLC Past Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Casa Grande Urgent Care LLC Past Accepting new patients
Endocrinology Associates P a DTD PastSince Jul 2, 2007 Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Apache Junction Urgent Care LLC Past Accepting new patients
Thomas Road Urgent Care LLC Past Accepting new patients

Locations

16611 S 40th St
Ste 120
Phoenix, AZ 85048
Phone (480) 706-4100

Interoperability endpoints

  • Direct secure messaging: jaron.fischbeck.1@27126.direct.athenahealth.com

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1760497325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16611 S. 40TH ST.,",
            "address_2": "STE. 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85048",
            "telephone_number": "480-706-4100",
            "fax_number": "480-706-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16611 S 40TH ST",
            "address_2": "SUITE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480562",
            "telephone_number": "480-706-4100",
            "fax_number": "480-706-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHBECK",
        "first_name": "JARON",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "973950",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.