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JACK M WOLFSON D.O.
NPI 1467458000
Internal Medicine - Cardiovascular Disease in Paradise Valley, AZ

Active since June 27, 2005PECOS Enrolled
10585 N TATUM BLVD, STE D135, PARADISE VALLEY, AZ 85253(480) 535-6844(480) 535-6845 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack M Wolfson D.o. NPPES

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

JACK M WOLFSON D.O. (NPI 1467458000) is an individual cardiovascular disease provider in Paradise Valley, Arizona, licensed in Arizona (3761) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467458000
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJACK M WOLFSONCredential: D.O.
Location Address10585 N TATUM BLVD, STE D135Paradise Valley, AZ 85253-1073
Mailing Address10585 N Tatum Blvd, Ste D135Paradise Valley, AZ 85253-1073 · (480) 535-6844 · Fax (480) 535-6845
Phone(480) 535-6844
Fax(480) 535-6845
Sole ProprietorNo
Enumeration DateJune 27, 2005
Last NPPES UpdateJuly 27, 2016
✔ NPI 1467458000 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 · 3761
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.
10585 N TATUM BLVD, Paradise Valley, AZ 85253
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Other Identifiers 7

Other25-01062AZ · United Healthcare
Medicare ID-Type Unspecified70465AZ
OtherAZ0714780AZ · Blue Cross Blue Shield
Medicare UPINH62537AZ
Other060068481AZ · Railroad Medicare
Other1Z6403AZ · Healthnet
Medicaid690257AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack M Wolfson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85253 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 7

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

CRISTIAN N JIVCU M.D.
Internal Medicine (Pulmonary Disease)
10585 N TATUM BLVD, STE D130
PARADISE VALLEY, AZ 85253
Maricopa County (602) 559-9966
GRACE MARIE MELLEN R.N. / N.P.
Registered Nurse
10585 N TATUM BLVD, SUITE D130
PARADISE VALLEY, AZ 85253
Maricopa County (602) 997-7263
BENJAMIN M. SUCHER, D.O., P.C.
Neuromusculoskeletal Medicine & OMM
10585 N TATUM BLVD, SUITE D135
PARADISE VALLEY, AZ 85253
Maricopa County (480) 483-7387
INTERNAL MEDICINE OF THE VALLEY PLC
Clinic/Center (Primary Care)
10585 N TATUM BLVD, D-137
PARADISE VALLEY, AZ 85253
Maricopa County (602) 277-2361
PARADISE VALLEY ENDODONTIC GROUP, PLLC
Clinic/Center (Dental)
10585 N TATUM BLVD, D-132
PARADISE VALLEY, AZ 85253
Maricopa County (480) 483-9001
DR. KEVIN PHILIP THEODOROU MD
Internal Medicine
10585 N TATUM BLVD, D-137
PARADISE VALLEY, AZ 85253
Maricopa County (602) 277-2361
JOSEPH S. DOVGAN, DDS, MS. PC
Clinic/Center (Dental)
10585 N TATUM BLVD, SUITE D132
PARADISE VALLEY, AZ 85253
Maricopa County (480) 483-9001

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 Jack Wolfson's NPI number?

The NPI number for Jack Wolfson is 1467458000. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Jack Wolfson located?

Jack Wolfson practices at 10585 N Tatum Blvd Ste D135, Paradise Valley, AZ 85253. The listed phone number is (480) 535-6844.

What is Jack Wolfson's specialty?

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

Is Jack Wolfson enrolled in Medicare?

Yes. Jack Wolfson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Wolfson was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.