Individual provider Active NPI

Jeffrey James Fitzgerald, MD

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1952457566
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35123011 Issued in OH
Practice address
3501 N Scottsdale Rd Ste 130
Scottsdale, AZ 85251-5649
Phone
(480) 425-5000
NPI assigned
Jan 26, 2007
Last updated
Feb 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TL-2164 CO
Diagnostic Radiology Physician 2085R0202X 42704 AZ
Diagnostic Radiology Physician 2085R0202X 35123011 OH Primary

Addresses

Primary practice location

3501 N Scottsdale Rd Ste 130
Scottsdale, AZ 85251-5649

Mailing address

PO Box 42456
Cincinnati, OH 45242-0456
Phone (513) 247-8646

Other practice location 1

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-2611

Other identifiers 4

IdentifierTypeStateIssuer
7100290250MedicaidKY
0099271MedicaidOH
201220770MedicaidIN
522302MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100715001027 AZ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6709918436 Reassigns benefits to 3 organizations
I20140402002376 OH Practitioner - Diagnostic Radiology 6709918436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Tristate Img (Imaging Medical Group) IncGroup PAC ID 6204732365, 45 clinicians
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians

Practice addresses (Care Compare)

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (832) 915-2534

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (832) 915-2534

33400 N 32ND Ave
Phoenix, AZ 85085-8876
Phone (832) 915-2534

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 865-1331

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

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (832) 915-2534

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (832) 915-2534

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (832) 915-2534

9220 E Mountain View Rd
Suite 100
Scottsdale, AZ 85258-5134
Phone (480) 425-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35123011OHMDDiagnostic Radiology Physician
TL-2164COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Mar 30, 2020 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2015 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Scottsdale Medical Imaging, LTD Diagnostic Radiology Past Accepting new patients
Insight Health Corp. Diagnostic Radiology PastSince Jul 1, 2011 Accepting new patients

Locations (25 of 72)

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

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

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

1125 S Alma School Rd
Ste 110
Chandler, AZ 85286

16838 E Palisades Blvd
Ste C151
Fountain Hills, AZ 85268

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

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

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

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

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

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

Interoperability endpoints

  • Direct secure messaging: jfitzgerald129162@direct.trihealth.com

Organizations & group practices 7

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 9

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1952457566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42456",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452420456",
            "telephone_number": "513-247-8646",
            "fax_number": "513-965-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515649",
            "telephone_number": "480-425-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Dixmyth Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452202475",
            "country_code": "US",
            "telephone_number": "513-862-2611",
            "fax_number": "513-965-8091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JEFFREY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL-2164",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "42704",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35123011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100290250",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099271",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201220770",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522302",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.