NPIMap

Individual provider Active NPI

Patrick William Hogan, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Glendale, AZ
National Provider Identifier
1023209228
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
4766 Issued in AZ
Practice address
7200 W Bell Rd
Ste F101
Glendale, AZ 85308-8529
Phone
(602) 795-8700
Fax
(602) 795-8701
NPI assigned
Aug 5, 2007
Last updated
May 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X CDR.0000846 CO
Pain Medicine (Anesthesiology) Physician 207LP2900X 4766 AZ Primary

Addresses

Primary practice location

7200 W Bell Rd
Ste F101
Glendale, AZ 85308-8529

Mailing address

20280 N 59TH Ave
Ste 115-617
Glendale, AZ 85308-6850
Phone (602) 795-8700

Other practice location 1

7251 W 20th St Unit K
Greeley, CO 80634-4626
Phone (970) 473-7900

Other identifiers 1

IdentifierTypeStateIssuer
346778MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080703000179 AZ Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 6406928696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7200 W Bell Rd
Suite F101
Glendale, AZ 85308-8535
Phone (602) 795-8700

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Anesthesia, LLC Current Accepting new patients
Valley Anesthesiology Consultants, Inc. Anesthesiology CurrentSince Jul 1, 2008 Accepting new patients
Arizona Spine and Pain Specialists LLC Pain Medicine CurrentSince Jan 1, 2015 Accepting new patients
Arizona Spine and Pain Specialists LLC CurrentSince May 6, 2011 Accepting new patients
Elite Anesthesia LLC Anesthesiology Past Accepting new patients

Locations

1760 E Florence Blvd
Ste 140
Casa Grande, AZ 85122
Phone (520) 426-1000

725 S Dobson Rd
Ste 100
Chandler, AZ 85224
Phone (480) 814-0266

18555 N 79th Ave
Bldg C
Glendale, AZ 85308
Phone (623) 776-2500

20280 N 59th Ave
Ste 115610
Glendale, AZ 85308

20280 N 59th Ave
Ste 115617
Glendale, AZ 85308

7200 W Bell Rd
Ste F101
Glendale, AZ 85308
Phone (623) 776-9111

1325 N Litchfield Rd
Ste 120
Goodyear, AZ 85395

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

2222 E Highland Ave
Ste 220
Phoenix, AZ 85016
Phone (602) 667-5580

33747 N Scottsdale Rd
Ste 135
Scottsdale, AZ 85266
Phone (480) 248-6160

14420 W Meeker Blvd
Ste 211
Sun City West, AZ 85375

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1023209228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE",
            "address_2": "STE 115-617",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W BELL RD",
            "address_2": "STE F101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088529",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7251 W 20th St Unit K",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806344626",
            "country_code": "US",
            "telephone_number": "970-473-7900",
            "fax_number": "970-473-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "PATRICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "CDR.0000846",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "4766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346778",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.