Active NPI
Michael J Pang, M.D.
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29519
- Practice address
- 4530 E Muirwood Dr
Phoenix, AZ 85048-7639 - Phone
- (480) 961-2303
- Fax
- (480) 961-2306
- NPI assigned
- Sep 23, 2005
- Last updated
- Oct 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29519 | AZ | Primary |
Addresses
Primary practice location
4530 E Muirwood Dr
Phoenix, AZ 85048-7639
Mailing address
4530 E Muirwood Dr
Phoenix, AZ 85048-7639
Phone (480) 961-2303
Other practice location 1
7534 E 2nd St
102
Scottsdale, AZ 85251-4548
Phone (480) 607-3800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 703240 | Medicaid | AZ | |
| 716855-01 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Mississippi School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4530 E Muirwood Dr
Suite 105
Phoenix, AZ 85048-7693
Phone (480) 961-2303
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29519 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aia Hospitalists LLC | Internal Medicine | Current | Accepting new patients |
Locations
4530 E Muirwood Dr
Phoenix, AZ 85048
Phone (480) 610-6981
4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303
Organizations & group practices 1
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.
-
dba Alliance Hospitalists
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1831166230
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arizona Specialty Hospital
- Special Hospital
- Phoenix, AZ
- NPI 1124163530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1033105200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487639",
"telephone_number": "480-961-2303",
"fax_number": "480-961-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487639",
"telephone_number": "480-961-2303",
"fax_number": "480-961-2306"
}
],
"practiceLocations": [
{
"address_1": "7534 E 2nd St",
"address_2": "102",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852514548",
"country_code": "US",
"telephone_number": "480-607-3800",
"fax_number": "480-607-3808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANG",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "29519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "703240",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "716855-01",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.