Active NPI
Mark Hiram Gotfried, MD
- Pulmonary Disease Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 12668
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235607 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100512000515 | AZ | Practitioner - Pulmonary Disease | 4688776883 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Associates, PA | Pulmonary Disease | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.