Individual provider Active NPI

Deborah J Tom, MD

  • Neonatal-Perinatal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1811927908
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
26956 Issued in AZ
Practice address
300 W Clarendon Ave
375
Phoenix, AZ 85013-3420
Phone
(602) 277-4161
Fax
(602) 274-3394
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 26956 AZ
Neonatal-Perinatal Medicine Physician 2080N0001X 26956 AZ Primary

Addresses

Primary practice location

300 W Clarendon Ave
375
Phoenix, AZ 85013-3420

Mailing address

300 W Clarendon Ave
375
Phoenix, AZ 85013-3420
Phone (602) 277-4161

Other identifiers 1

IdentifierTypeStateIssuer
436586MedicaidAZ

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200917002733 AZ Practitioner - Other (Physician) 7810134715 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26956AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children'S Medical Group CurrentSince Jul 1, 2020 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Jul 1, 2020 Accepting new patients
Phoenix Children'S Hospital Pediatrics Current Accepting new patients
Neonatology Associates, LTD Pediatrics Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Neonatal-Perinatal Medicine Past Accepting new patients
Phoenix Children'S Hospital Past Accepting new patients

Locations

1780 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6731

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

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

3370 S Mercy Rd
Ste 205
Gilbert, AZ 85297

3420 S Mercy Rd
Ste 121
Gilbert, AZ 85297
Phone (602) 933-2263

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

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

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

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1811927908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE",
            "address_2": "375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133420",
            "telephone_number": "602-277-4161",
            "fax_number": "602-274-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE",
            "address_2": "375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133420",
            "telephone_number": "602-277-4161",
            "fax_number": "602-274-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "26956",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "AZ",
            "license": "26956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "436586",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.