Individual provider Active NPI

Jenni Harris, DO

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1912339037
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
007978 Issued in AZ
Practice address
9305 W Thomas Rd Ste 200
Phoenix, AZ 85037-3447
Phone
(623) 465-6693
NPI assigned
Jul 31, 2013
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 007978 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd Ste 200
Phoenix, AZ 85037-3447

Mailing address

3476 W Morgan Ivy LN
Phoenix, AZ 85045-1102
Phone (920) 397-9349

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
I20190724003271 AZ Practitioner - Diagnostic Radiology 0547515504 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Valley Radiologists, LTDGroup PAC ID 8325388499, 59 clinicians
Banner Imaging Services LLCGroup PAC ID 1850724386, 122 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Practice addresses (Care Compare)

13555 W McDowell Rd
Suite 106
Goodyear, AZ 85395-2625
Phone (623) 847-2000

18275 N 59TH Ave
Suite 168
Glendale, AZ 85308-1254
Phone (623) 847-2000

5605 W Eugie Ave
Suite 110
Glendale, AZ 85304-1273
Phone (480) 610-7400

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007978AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Single Specialty CurrentSince Jul 19, 2020 Accepting new patients
Banner Imaging Services LLC Single Specialty Current Accepting new patients
Associated Valley Radiologists LTD Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Ben-Ora, Hansen, & Vanesian Imaging Past Accepting new patients

Locations (25 of 76)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1828 E Florence Blvd
Ste B118
Casa Grande, AZ 85122

1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

3645 S Rome St
Ste 101
Gilbert, AZ 85297

665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

18275 N 59th Ave
Ste 168K
Glendale, AZ 85308
Phone (602) 889-1977

5310 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 978-0892

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

5757 W Thunderbird Rd
Ste W100
Glendale, AZ 85306
Phone (623) 931-7999

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

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

1450 S Dobson Rd
Ste A100
Mesa, AZ 85202
Phone (480) 545-9779

1940 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (480) 476-8800

6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619

6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1912339037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3476 W MORGAN IVY LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850451102",
            "telephone_number": "920-397-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373447",
            "telephone_number": "623-465-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "007978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.