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DOUGLAS P JENSEN MD
NPI 1073509402
Internal Medicine - Cardiovascular Disease in Glendale, AZ

Active since September 21, 2005PECOS Enrolled
5859 W TALAVI BLVD, SUITE 100, GLENDALE, AZ 85306(602) 298-7777(623) 930-6060 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas P Jensen Md NPPES

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

DOUGLAS P JENSEN MD (NPI 1073509402) is an individual cardiovascular disease provider in Glendale, Arizona, licensed in Arizona (11306) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073509402
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDOUGLAS P JENSENCredential: MD
Location Address5859 W TALAVI BLVD, SUITE 100Glendale, AZ 85306-1869
Mailing AddressPo Box 52886Phoenix, AZ 85072-2886 · (602) 298-7777 · Fax (623) 930-6060
Phone(602) 298-7777
Fax(623) 930-6060
Sole ProprietorNo
Enumeration DateSeptember 21, 2005
Last NPPES UpdateAugust 26, 2011
✔ NPI 1073509402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in AZ · 11306
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5859 W TALAVI BLVD, Glendale, AZ 85306
Open in Google Maps ↗

Other Identifiers 3

Medicare PINZ27797AZ
Medicaid211681AZ
Medicare UPIND37083AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas P Jensen Md 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 Douglas Jensen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospital Development Of West Phoenix Inc
15 mi
Cardiovascular Disease
13677 W MCDOWELL RD
Goodyear, AZ 85395
  • Reassigned Medicare billing, Arizona enrollment
  • 22 clinicians in this Medicare group
NPI 1013100692 (623) 882-1500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

JOHN C LINCOLN , LLC
Internal Medicine
5859 W TALAVI BLVD, SUITE 165
GLENDALE, AZ 85306
Maricopa County (602) 548-7800
DANA HOCK FNP
Nurse Practitioner (Family)
5859 W TALAVI BLVD, STE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777
CARISSA BUCKEY NP
Nurse Practitioner (Family)
5859 W TALAVI BLVD, STE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777
MS. KATHLEEN M BERRY FNP-BC
Nurse Practitioner (Family)
5859 W TALAVI BLVD, SUITE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777
RAJUL I PATEL MD
Internal Medicine (Cardiovascular Disease)
5859 W TALAVI BLVD, SUITE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777
DR. G. RESHMAAL DEEPTHI GOMES CUMARANATUNGE MD
Internal Medicine (Cardiovascular Disease)
5859 W TALAVI BLVD, SUITE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777
DR. DANNY CLAYTON BLANKENSHIP M.D.
Internal Medicine (Interventional Cardiology)
5859 W TALAVI BLVD, SUITE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777
DR. KENNETH DIZON DO
Internal Medicine (Cardiovascular Disease)
5859 W TALAVI BLVD, STE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777

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 Douglas Jensen's NPI number?

The NPI number for Douglas Jensen is 1073509402. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Douglas Jensen located?

Douglas Jensen practices at 5859 W Talavi Blvd Suite 100, Glendale, AZ 85306. The listed phone number is (602) 298-7777.

What is Douglas Jensen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Douglas Jensen enrolled in Medicare?

Yes. Douglas Jensen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Jensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Jensen reassigns Medicare benefits to Hospital Development Of West Phoenix Inc (Goodyear, 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 Douglas Jensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Jensen was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.