NPIMap

Individual provider Active NPI

Michael J Stumpf, D.O.

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1003015918
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4658 Issued in AZ
Practice address
20940 N. Tatum Blvd. Ste #350
Phoenix, AZ 85050
Phone
(844) 436-7874
Fax
(877) 828-6834
NPI assigned
Jul 12, 2007
Last updated
May 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS10828 FL
Surgery Physician 208600000X 4658 AZ Primary

Addresses

Primary practice location

20940 N. Tatum Blvd. Ste #350
Phoenix, AZ 85050

Mailing address

29455 N. Cave Creek Rd Ste #118-451
Phoenix, AZ 85331
Phone (844) 436-7874

Other identifiers 1

IdentifierTypeStateIssuer
270795MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071031000127 AZ Practitioner - General Surgery 8224125711 Reassigns benefits to 1 organization
I20240624001747 NM Practitioner - General Surgery 8224125711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Arizona College of Osteopathic Medicine Mid Western University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5300 S Hwy 95
Fort Mohave, AZ 86426-9251

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy56
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux44
Melanoma (skin cancer) excision1-10
Removal of tissue11
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Physician Practices LLC Current Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 1, 2024 Accepting new patients
Sga Wound Centers LLC Surgery Current Accepting new patients
Valley View Physician Practices, LLC CurrentSince Aug 1, 2024 Accepting new patients
Valley View Physician Practices, LLC CurrentSince Aug 1, 2024 Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine Past Accepting new patients

Locations

5300 S Highway 95
Ste C
Fort Mohave, AZ 86426
Phone (928) 768-2330

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Interoperability endpoints

  • Direct secure messaging: michael.stumpf.1@19231.direct.athenahealth.com
  • Direct secure messaging: michael.stumpf@sgoap-az.direct.office.nextgen.com
  • Direct secure messaging: mstumpf252069@direct.phs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1003015918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29455 N. CAVE CREEK RD STE #118-451",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85331",
            "telephone_number": "844-436-7874",
            "fax_number": "877-828-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20940 N. TATUM BLVD. STE #350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85050",
            "telephone_number": "844-436-7874",
            "fax_number": "877-828-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMPF",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS10828",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "4658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270795",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.