MISS JENNIFER DANIELLE GAITLEY M.D.
NPI 1528321569
Pediatrics - Sports Medicine in Phoenix, AZ

Q: What is Jennifer Gaitley's NPI number?

The NPI number for Jennifer Gaitley is 1528321569. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Q: What is Jennifer Gaitley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Gaitley was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 22, 2012PECOS EnrolledAccepts Medicare Assignment

1919 E THOMAS RD FL 2, PHOENIX, AZ 85016(602) 933-3033(602) 933-4311 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 10, 2020, Feb 8, 2019, Nov 9, 2018 and 5 more (8 updates tracked since 2017).

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About Miss Jennifer Danielle Gaitley M.d. NPPES

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

MISS JENNIFER DANIELLE GAITLEY M.D. (NPI 1528321569) is an individual sports medicine provider in Phoenix, Arizona, licensed in Arizona (60285) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Wayne State University School Of Medicine (2012).

NPPES Registry Identity

NPI1528321569

Entity TypeIndividualFemale

Primary Taxonomy2080S0010X

Provider Legal NameMISS JENNIFER DANIELLE GAITLEYCredential: M.D.

Location Address1919 E THOMAS RD FL 2Phoenix, AZ 85016-7710

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814 · Fax (602) 933-8972

Phone(602) 933-3033

Fax(602) 933-4311

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2012

Enumeration DateJune 22, 2012

Last NPPES UpdateDecember 10, 20208 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2020

✔ NPI 1528321569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

Licenses✔ Licensed in AZ · 60285✔ Licensed in NC · 2017-02087

Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedPediatricsTaxonomy 208000000X · License 2017-02087 (NC)

1919 E THOMAS RD FL 2, Phoenix, AZ 85016

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Secondary Practice Locations 3

Location 111100 Euclid AveCleveland, OH 44106-1716 · Phone (216) 844-1602

Location 21918 Randolph Rd Ste 700Charlotte, NC 28207-1167 · Phone (704) 384-1056

Location 3201 Queens RdCharlotte, NC 28204-3217 · Phone (704) 316-1070

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Miss Jennifer Danielle Gaitley M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486929791

PECOS Enrollment IDI20200330003251

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 2

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

JESSICA DAVIS BURNS

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

1919 E THOMAS RD FL 2
PHOENIX, AZ 85016

Maricopa County (602) 933-3033

MELISSA ESPARZA M.D.

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

1919 E THOMAS RD FL 2
PHOENIX, AZ 85016

Maricopa County (602) 933-3033

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 Jennifer Gaitley's NPI number?

The NPI number for Jennifer Gaitley is 1528321569. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Jennifer Gaitley located?

Jennifer Gaitley practices at 1919 E Thomas Rd Fl 2, Phoenix, AZ 85016. The listed phone number is (602) 933-3033.

What is Jennifer Gaitley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Jennifer Gaitley enrolled in Medicare?

Yes. Jennifer Gaitley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Gaitley accept?

Health plans from Blue Cross Blue Shield of Arizona list Jennifer Gaitley 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 Jennifer Gaitley was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.