Active NPI
Jeffrey James Fitzgerald, MD
- Diagnostic Radiology Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35123011
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100290250 | Medicaid | KY | |
| 0099271 | Medicaid | OH | |
| 201220770 | Medicaid | IN | |
| 522302 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical College of Wisconsin, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35123011 | OH | MD | Diagnostic Radiology Physician |
| TL-2164 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Banner Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Southwest Diagnostic Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Associated Valley Radiologists LTD | Diagnostic Radiology | Current | Accepting new patients |
| Scottsdale Medical Imaging, LTD | Diagnostic Radiology | Past | Accepting new patients |
| Insight Health Corp. | Diagnostic Radiology | Past | 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
- 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.
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1902896236
-
- Specialist
- Cincinnati, OH
- NPI 1114927209
-
- Diagnostic Radiology Physician
- Glendale, AZ
- NPI 1932683257
-
- Diagnostic Radiology Physician
- Sun City, AZ
- NPI 1770139958
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1407823610
-
dba Harbor/UCLA Diagnostic Imaging Center
- Physiological Laboratory
- Torrance, CA
- NPI 1467427377
Diagnostic Radiology
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
dba HonorHealth Scottsdale Osborn Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- General Acute Care Hospital
- Oxford, OH
- NPI 1245216183
-
dba Good Samaritan Surgery Center West
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
dba Good Samaritan Endoscopy Center North
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
dba Good Samaritan Hospital - Evendale
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
dba Good Samaritan Hand Surgery Center
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.