Jerome Jeremy Cordova, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

51849 Issued in AZ

Practice address

7320 E 6TH Ave
Scottsdale, AZ 85251-3402

Phone

(480) 508-8482

NPI assigned

Apr 18, 2011

Last updated

Jul 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of New Mexico School of Medicine, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Beauty on Demand LLC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1124919972
  NPD Authorized official
• Viva IV Therapy LLC

  • Urgent Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1891499299
  NPD Authorized official
• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820

  Multi-Specialty

  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1891085361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 E 6TH AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513402",
            "telephone_number": "480-508-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 E 6TH AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513402",
            "telephone_number": "480-508-8482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Indianapolis Campus",
            "address_2": "8111 South Emerson Avenue",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46237",
            "country_code": "US",
            "telephone_number": "317-528-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5330 E Stop 11 Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462376345",
            "country_code": "US",
            "telephone_number": "317-893-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5330 E Stop 11 Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462376345",
            "country_code": "US",
            "telephone_number": "317-893-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "JEROME",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01074463A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "51849",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "51849",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01074463A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201248690",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cleopatra Corcoran
• Jennifer Mary Corcoran, PT
• Brett D Cordes
• Colleen C Cordes, PHD
• Alexandria Cording
• Corebella Health and Wellness LLC (Brightview Health)
• Jan-Michael B Corella, AG-ACNP
• John J Corey, M.D.
• Rebecca Lynn Corey, PHARM.D.
• Corinthian Infusion Group LLC

• Cardiovascular Disease Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.