Active NPI
Michael W. Loes, M.D.
- Addiction Medicine (Internal Medicine) Physician
- Phoenix, AZ
National Provider Identifier
1033247630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 11336
- Practice address
- 11047 N 19TH Ave
Phoenix, AZ 85029-4816 - Phone
- (602) 944-2222
- Fax
- (602) 331-2499
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | MD11336 | AZ | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 11336 | AZ | Primary |
Addresses
Primary practice location
11047 N 19TH Ave
Phoenix, AZ 85029-4816
Mailing address
7402 E Wethersfield Rd
Scottsdale, AZ 85260-4719
Phone (480) 250-1438
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0397010 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 188372200 | Other | AZ | OWCP FEDERAL COMPENSATION |
| 25492002 | Other | AZ | AHCCCS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120419000680 | AZ | Practitioner - Pain Management | 9537320486 | Practice locations: Scottsdale, AZ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11336 | AZ | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Pain and Posture L.L.C. | Past | Accepting new patients |
Interoperability endpoints
- michael.loes@avera.sdhealthlink.net
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 and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Scottsdale, AZ
- NPI 1003098559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1033247630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7402 E WETHERSFIELD RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852604719",
"telephone_number": "480-250-1438",
"fax_number": "602-331-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11047 N 19TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294816",
"telephone_number": "602-944-2222",
"fax_number": "602-331-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOES",
"first_name": "MICHAEL",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "AZ",
"license": "MD11336",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "AZ",
"license": "11336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0397010",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP FEDERAL COMPENSATION",
"identifier": "188372200",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "25492002",
"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 Feb 17, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.