Individual provider Active NPI

Jon Martinson, PA-C

  • Physician Assistant
  • Glendale, AZ
National Provider Identifier
1932537354
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5512 Issued in AZ
Practice address
6677 W Thunderbird Rd
Suite I - 164
Glendale, AZ 85306-3709
Phone
(623) 878-2100
Fax
(623) 776-9419
NPI assigned
Oct 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5512 AZ Primary

Addresses

Primary practice location

6677 W Thunderbird Rd
Suite I - 164
Glendale, AZ 85306-3709

Mailing address

6233 W Behrend Dr Apt 2055
Glendale, AZ 85308-6929
Phone (623) 878-2100

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131106001015 AZ Practitioner - Physician Assistant 6406081025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Satinder S Purewal MD LLCGroup PAC ID 6507814191, 37 clinicians

Practice addresses (Care Compare)

6677 W Thunderbird Rd
I164
Glendale, AZ 85306-3762

6677 W Thunderbird Rd BLDG
Suite I164
Glendale, AZ 85306-3762
Phone (623) 878-2100

6677 W Thunderbird Rd BLDG I
Suite 164
Glendale, AZ 85306-3762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
78.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5512AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Satinder S. Purewal, M.D. LLC PastSince Feb 18, 2024 Accepting new patients
Satinder S. Purewal, M.D. LLC PastSince Feb 18, 2024 Accepting new patients

Organizations & group practices 3

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 4

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": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1932537354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 W BEHREND DR APT 2055",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086929",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD",
            "address_2": "SUITE I - 164",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063709",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINSON",
        "first_name": "JON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-22",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.