Individual provider Active NPI

Ira Blecker, M.D.

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1972560969
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29482 Issued in AZ
Practice address
14529 N 99TH St
Scottsdale, AZ 85260-3827
Phone
(480) 596-2923
Fax
(480) 596-2923
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29482 AZ Primary

Addresses

Primary practice location

14529 N 99TH St
Scottsdale, AZ 85260-3827

Mailing address

14529 N 99TH St
Scottsdale, AZ 85260-3827
Phone (480) 596-2923

Other identifiers 2

IdentifierTypeStateIssuer
752023MedicaidAZ
181760MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29482AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Skin & Dermatology, P.C. Past Accepting new patients
Desert Valley Radiology, PLC Diagnostic Radiology Past Accepting new patients
Radiology Consultants PLLC Diagnostic Radiology Past Accepting new patients
Paradise Valley Family Medicine, PC Family Medicine PastSince Jan 1, 2001 Accepting new patients
Arizona Skin and Dermatology PC Family Medicine Past Accepting new patients
Athens Medical Group, Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCHBA

Organizations & group practices 6

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1972560969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14529 N 99TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603827",
            "telephone_number": "480-596-2923",
            "fax_number": "480-596-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14529 N 99TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603827",
            "telephone_number": "480-596-2923",
            "fax_number": "480-596-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLECKER",
        "first_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "29482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "752023",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181760",
            "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 May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.