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MR. JACK NATHAN POLES M.D.
NPI 1962484949
Internal Medicine in Phoenix, AZ

Active since November 16, 2005PECOS Enrolled
9100 N 2ND ST, SUITE 121, PHOENIX, AZ 85020(602) 997-7331(602) 870-4512 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Jack Nathan Poles M.d. NPPES

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

MR. JACK NATHAN POLES M.D. (NPI 1962484949) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (AP6412085) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962484949
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JACK NATHAN POLESCredential: M.D.
Location Address9100 N 2ND ST, SUITE 121Phoenix, AZ 85020-2446
Mailing Address2500 W Utopia Rd, Ste. 100Phoenix, AZ 85027-4171 · (602) 214-6148 · Fax (602) 214-6149
Phone(602) 997-7331
Fax(602) 870-4512
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateSeptember 24, 2013
✔ NPI 1962484949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · AP6412085
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9100 N 2ND ST, Phoenix, AZ 85020
Open in Google Maps ↗

Other Identifiers 3

Other41884AZ · Board Cert #
Medicare PINZ102719
Medicare UPIND37458AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jack Nathan Poles 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jack Poles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Honorhealth Medical Group, LLC
Same address
Internal Medicine
9100 N 2ND ST, SUITE 121
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
  • 502 clinicians in this Medicare group
NPI 1255442380 (602) 997-7331
Honorhealth Urgent Care, LLC
3.4 mi
Urgent Care
1515 E BETHANY HOME ROAD
Phoenix, AZ 85014
  • Reassigned Medicare billing, Arizona enrollment
  • 134 clinicians in this Medicare group
NPI 1740273614 (602) 812-3080

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 85020 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
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers13 claims78 services$16.28 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
1 supplier11 claims22 services$12.32 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers15 claims15 services$41.25 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers13 claims13 services$8.88 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers28 claims124 services$1.63 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$13.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

DR. LIXIAN ZOU MD
Internal Medicine (Nephrology)
9100 N 2ND ST, SUITE 221
PHOENIX, AZ 85020
Maricopa County (602) 943-1231
MRS. VIMALA NADINE KUKUNOOR M.D.
Internal Medicine
9100 N 2ND ST, SUITE 121
PHOENIX, AZ 85020
Maricopa County (602) 997-7331
GERALD SCHWARTZBERG MD
Internal Medicine (Pulmonary Disease)
9100 N 2ND ST, #121
PHOENIX, AZ 85020
Maricopa County (602) 997-7331
GLOBAL PRIMARY CARE
Family Medicine
9100 N 2ND ST, SUITE 213
PHOENIX, AZ 85020
Maricopa County (602) 792-5769
DR. ALFREDO LIM M.D.
Internal Medicine
9100 N 2ND ST, STE. 121
PHOENIX, AZ 85020
Maricopa County (602) 997-7331
DR. PAUL SACKS M.D.
Internal Medicine (Nephrology)
9100 N 2ND ST, SUITE 221
PHOENIX, AZ 85020
Maricopa County (602) 943-1231
HONORHEALTH MEDICAL GROUP, LLC
Internal Medicine
9100 N 2ND ST, SUITE 121
PHOENIX, AZ 85020
Maricopa County (602) 997-7331
AKDHC, LLC
Internal Medicine (Nephrology)
9100 N 2ND ST, SUITE 221
PHOENIX, AZ 85020
Maricopa County (602) 943-1231

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 Poles's NPI number?

The NPI number for Jack Poles is 1962484949. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Jack Poles located?

Jack Poles practices at 9100 N 2nd St Suite 121, Phoenix, AZ 85020. The listed phone number is (602) 997-7331.

What is Jack Poles's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jack Poles enrolled in Medicare?

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

Which organizations bill Medicare for Jack Poles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Poles reassigns Medicare benefits to 2 organizations: Honorhealth Medical Group, LLC (Phoenix, AZ) and Honorhealth Urgent Care, LLC (Phoenix, AZ). Each 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 Jack Poles'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 Jack Poles was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.