Individual provider Active NPI

Mark Hiram Gotfried, MD

  • Pulmonary Disease Physician
  • Phoenix, AZ
National Provider Identifier
1952353658
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
12668 Issued in AZ
Practice address
3811 E Bell Rd Ste 107
Phoenix, AZ 85032-2158
Phone
(602) 340-1689
Fax
(602) 340-1853
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12668 AZ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 12668 AZ
Pulmonary Disease Physician 207RP1001X 12668 AZ Primary

Addresses

Primary practice location

3811 E Bell Rd Ste 107
Phoenix, AZ 85032-2158

Mailing address

5151 E Broadway Rd Ste 107
Mesa, AZ 85206-1346
Phone (480) 290-7000

Other identifiers 1

IdentifierTypeStateIssuer
235607MedicaidAZ

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
I20100512000515 AZ Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Other (Physician) 4688776883 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates, PA Pulmonary Disease CurrentSince Jul 1, 1966 Accepting new patients

Locations

2000 S Thompson St
Flagstaff, AZ 86001
Phone (928) 213-1051

5750 W Thunderbird Rd
Ste E500
Glendale, AZ 85306
Phone (602) 938-6960

5151 E Broadway Rd
Ste 107
Mesa, AZ 85206
Phone (480) 290-7000

404 W Main St
Ste A
Payson, AZ 85541
Phone (602) 346-4746

9225 N 3rd St
Ste 205
Phoenix, AZ 85020
Phone (480) 867-7223

3811 E Bell Rd
Ste 107
Phoenix, AZ 85032
Phone (602) 340-1689

1112 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 258-4951

15215 S 48th St
Ste 133
Phoenix, AZ 85044
Phone (480) 598-4012

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19484/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1952353658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY RD STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061346",
            "telephone_number": "480-290-7000",
            "fax_number": "602-254-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD STE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322158",
            "telephone_number": "602-340-1689",
            "fax_number": "602-340-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTFRIED",
        "first_name": "MARK",
        "middle_name": "HIRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "12668",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "12668",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "12668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235607",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.