Active NPI
Hilario Juarez, M.D.
- Surgery Physician
- Phoenix, AZ
National Provider Identifier
1861452807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 12148
- Practice address
- 1310 N 24TH St Ste 100
Phoenix, AZ 85008-4617 - Phone
- (602) 252-1510
- NPI assigned
- Mar 24, 2006
- Last updated
- Jul 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 12148 | AZ | Primary |
Addresses
Primary practice location
1310 N 24TH St Ste 100
Phoenix, AZ 85008-4617
Mailing address
10810 N Tatum Blvd Ste 102306
Phoenix, AZ 85028-0503
Phone (602) 252-1510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64148 | Other | AZ | PTAN |
| 238726 | Other | AZ | AHCCCS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081022000337 | AZ | Practitioner - General Surgery | 8527050426 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBAEAA/Endpoint/IBAEAA
Organizations & group practices 1
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": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1861452807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10810 N TATUM BLVD STE 102306",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850280503",
"telephone_number": "602-252-1510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 N 24TH ST STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084617",
"telephone_number": "602-252-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "HILARIO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "12148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "64148",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "238726",
"state": "AZ"
}
],
"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 Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.