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DR. JOSE GOMEZ CISNEROS M.D.
NPI 1023249174
General Practice in Phoenix, AZ

Active since August 06, 2009PECOS Enrolled
3140 N 35TH AVE STE 7, PHOENIX, AZ 85017(602) 353-6656(602) 442-2065 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2020, Mar 17, 2018, May 9, 2017 (3 updates tracked since 2017).

About Dr. Jose Gomez Cisneros M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSE GOMEZ CISNEROS M.D. (NPI 1023249174) is an individual general practice provider in Phoenix, Arizona, licensed in Arizona (50002) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023249174
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOSE GOMEZ CISNEROSCredential: M.D.
Location Address3140 N 35TH AVE STE 7Phoenix, AZ 85017-5270
Mailing Address3140 N 35th Ave Ste 7Phoenix, AZ 85017-5270 · (023) 536-6566 · Fax (602) 442-2065
Phone(602) 353-6656
Fax(602) 442-2065
Sole ProprietorNo
Enumeration DateAugust 6, 2009
Last NPPES UpdateMarch 3, 20203 updates tracked since enumeration
NPPES CertifiedMarch 3, 2020
✔ NPI 1023249174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AZ · 50002
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 50002 (AZ)
3140 N 35TH AVE STE 7, Phoenix, AZ 85017
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13102 E Indian School Rd Ste 130Phoenix, AZ 85016-6872 · Phone (602) 353-6656 · Fax (602) 442-2065
Location 23602 W Thomas Rd Ste 4Phoenix, AZ 85019-4442 · Phone (602) 296-4488 · Fax (800) 284-6891

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jose Gomez Cisneros M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jose Cisneros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinica Medica Del Sol, LLC
4.9 mi
Family Medicine
8022 N 27TH AVE
Phoenix, AZ 85051
  • Reassigned Medicare billing, Arizona enrollment
  • 13 clinicians in this Medicare group
NPI 1023155991 (602) 513-3616

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORGE RAINIER ALZURI HERNANDEZ PA
Physician Assistant
3140 N 35TH AVE STE 7
PHOENIX, AZ 85017
Maricopa County (602) 353-6656
OCTAVIO M. MUJICA RENDON
Physician Assistant
3140 N 35TH AVE STE 7
PHOENIX, AZ 85017
Maricopa County (602) 353-6656
MARIA MATAS FNP
Nurse Practitioner
3140 N 35TH AVE STE 7
PHOENIX, AZ 85017
Maricopa County (602) 353-6656
MARTHA DELIA FLORES GRIFFITH PA
Physician Assistant (Medical)
3140 N 35TH AVE STE 7
PHOENIX, AZ 85017
Maricopa County (602) 353-6656
DR. FRANCISCO J. HERNANDEZ M.D.
Psychiatry & Neurology (Psychiatry)
3140 N 35TH AVE STE 7
PHOENIX, AZ 85017
Maricopa County (602) 353-6656
MRS. CLAUDIA MOLLES FNP- BC
Nurse Practitioner (Family)
3140 N 35TH AVE STE 7
PHOENIX, AZ 85017
Maricopa County (602) 353-6656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Cisneros's NPI number?

The NPI number for Jose Cisneros is 1023249174. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Jose Cisneros located?

Jose Cisneros practices at 3140 N 35th Ave Ste 7, Phoenix, AZ 85017. The listed phone number is (602) 353-6656.

What is Jose Cisneros's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jose Cisneros enrolled in Medicare?

Yes. Jose Cisneros is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jose Cisneros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Cisneros reassigns Medicare benefits to Clinica Medica Del Sol, LLC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Cisneros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Cisneros accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Imperial Insurance Companies, Inc. list Jose Cisneros as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jose Cisneros was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.