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JEFFREY C PROUDFOOT D.O.
NPI 1043271463
Pediatrics - Pediatric Emergency Medicine in Phoenix, AZ

Active since March 28, 2006PECOS Enrolled
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 546-1000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey C Proudfoot D.o. NPPES

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

JEFFREY C PROUDFOOT D.O. (NPI 1043271463) is an individual pediatric emergency medicine provider in Phoenix, Arizona, licensed in Arizona (2668) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043271463
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameJEFFREY C PROUDFOOTCredential: D.O.
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address1919 E Thomas Rd, Bldg. C Managed CarePhoenix, AZ 85016-7710 · (602) 546-0486 · Fax (602) 546-1631
Phone(602) 546-1000
Sole ProprietorYes
Enumeration DateMarch 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043271463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in AZ · 2668
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
1919 E THOMAS RD, Phoenix, AZ 85016
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Other Identifiers 3

Medicare ID-Type Unspecified107213AZ
Medicare UPINE26149
Medicaid177255AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.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)

Jeffrey C Proudfoot D.o. 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 20

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

DR. TIMUR RAGHIB M.D.
Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0777
MRS. MARIA T ESCOBAR CSP, RD
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (480) 440-2787
DR. AHMAR HUSAIN MD
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
MRS. SOLEE R COWLEY LCSW
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0414
PRIYA PRASHER M.D.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1900
DR. AMIT RAJARAM D.O.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0198
LAURA GARDNER HAMANT
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1000
MS. KYLE MARIE CHRISTIAN-DOLD CPNP
Nurse Practitioner (Pediatrics)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1900

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 Jeffrey Proudfoot's NPI number?

The NPI number for Jeffrey Proudfoot is 1043271463. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Jeffrey Proudfoot located?

Jeffrey Proudfoot practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 546-1000.

What is Jeffrey Proudfoot's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Jeffrey Proudfoot enrolled in Medicare?

Yes. Jeffrey Proudfoot is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Proudfoot accept?

Health plans from Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona list Jeffrey Proudfoot 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 Jeffrey Proudfoot was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.