Individual provider Active NPI

David Joseph Jacofsky, M.D.

  • Surgical Oncology Physician
  • Phoenix, AZ
National Provider Identifier
1922040179
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
33149 Issued in AZ
Practice address
18444 N 25TH Ave
Ste 210
Phoenix, AZ 85023-1264
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 33149 AZ
Surgical Oncology Physician 2086X0206X 33149 AZ Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 33149 AZ
Orthopaedic Trauma Physician 207XX0801X 33149 AZ

Addresses

Primary practice location

18444 N 25TH Ave
Ste 210
Phoenix, AZ 85023-1264

Mailing address

18444 N 25TH Ave
Ste 310
Phoenix, AZ 85023-1266
Phone (623) 537-5600

Other identifiers 2

IdentifierTypeStateIssuer
908593MedicaidAZ
P00214604OtherAZRR MEDICARE

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
I20050413000028 AZ Practitioner - Orthopedic Surgery 8022055003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Pennsylvania, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Orthopedic Research and Education LLCGroup PAC ID 0345287322, 247 clinicians

Practice addresses (Care Compare)

18444 N 25TH Ave
Suite 210
Phoenix, AZ 85023-1264
Phone (866) 974-2673

Hospital & facility affiliations

  • The Core Institute Specialty Hosp Hospital, Phoenix, AZ, CCN 030108

Merit-based Incentive Payment System (MIPS)

Final score
85.65 of 100Reported as group
Quality
76.23
Promoting interoperability
100
Improvement activities
40
Cost
75.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33149AZMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Research and Education LLC CurrentSince Jan 1, 2005 Accepting new patients
City of Hope Medical Group of Arizona LLC Surgical Oncology CurrentSince Jan 1, 2021 Accepting new patients
Center for Orthopedic Research and Education, LLC Orthopaedic Surgery CurrentSince Jan 1, 2005 Accepting new patients
Hopco Flagstaff ASC Holdings, LLC Current Accepting new patients

Locations

2680 S Val Vista Dr
Ste 146
Gilbert, AZ 85295
Phone (480) 454-7680

3420 S Mercy Rd
Ste 200
Gilbert, AZ 85297
Phone (480) 909-3788

11851 N 51st Ave
Ste 210
Glendale, AZ 85304
Phone (855) 506-3876

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

4485 S I 19 Frontage Rd
Green Valley, AZ 85614

1450 S Dobson Rd
Ste B122
Mesa, AZ 85202
Phone (480) 580-2001

1500 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (866) 974-2676

9305 W Thomas Rd
Ste 275
Phoenix, AZ 85037
Phone (623) 327-4144

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

9321 W Thomas Rd
Ste 205
Phoenix, AZ 85037

10240 W Indian School Rd
Ste 115
Phoenix, AZ 85037
Phone (623) 243-9077

18444 N 25th Ave
Ste 220
Phoenix, AZ 85023
Phone (669) 742-6738

18444 N 25th Ave
Ste 210
Phoenix, AZ 85023
Phone (669) 742-6738

1001 Division St
Ste B
Prescott, AZ 86301
Phone (623) 474-3421

7304 E Deer Valley Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 342-9999

8952 E Desert Cove Ave
Ste 113
Scottsdale, AZ 85260
Phone (480) 314-7772

10484 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (669) 742-6738

10503 W Thunderbird Blvd
Ste 262
Sun City, AZ 85351
Phone (623) 832-5589

13640 N 99th Ave
Ste 100
Sun City, AZ 85351
Phone (602) 463-4872

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

14510 W Shumway Dr
Ste 101
Sun City West, AZ 85375
Phone (623) 975-1660

13995 W Statler Blvd
Ste 165
Surprise, AZ 85374
Phone (623) 537-5661

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: david.jacofsky.1@22724.direct.athenahealth.com

Organizations & group practices 4

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.

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1922040179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE",
            "address_2": "STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "623-537-5600",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE",
            "address_2": "STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231264",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOFSKY",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "33149",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "AZ",
            "license": "33149",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AZ",
            "license": "33149",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "AZ",
            "license": "33149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "908593",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00214604",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.