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

Q: 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.

Q: What is Jose Cisneros's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

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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 Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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