Individual provider Active NPI

Michael McGowan, CRNA

  • Certified Registered Nurse Anesthetist
  • Chandler, AZ
National Provider Identifier
1043383003
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
075925 Issued in AZ
Practice address
1955 W Frye Rd
Chandler, AZ 85224-6282
Phone
(480) 728-3000
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 075925 AZ Primary

Addresses

Primary practice location

1955 W Frye Rd
Chandler, AZ 85224-6282

Mailing address

2968 E Latham Way
#110
Gilbert, AZ 85297-5267
Phone (480) 988-5075

Other practice location 1

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5418

Other identifiers 1

IdentifierTypeStateIssuer
172869MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070123000606 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931100625 Reassigns benefits to 4 organizations
I20210929003342 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931100625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chandler Anesthesia Consultants LLCGroup PAC ID 0648161810, 68 clinicians

Practice addresses (Care Compare)

1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (480) 728-3000

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Merit-based Incentive Payment System (MIPS)

Final score
63.31 of 100Reported as group
Quality
74.88
Improvement activities
0
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
075925AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Arizona - Nogales Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2019 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jun 26, 2021 Accepting new patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2018 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jun 26, 2021 Accepting new patients
Chandler Anesthesia Consultants LLC CurrentSince Feb 1, 2024 Accepting new patients
Globe Crna Company, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1840 W Chandler Blvd
Ste D2
Chandler, AZ 85224
Phone (480) 745-8577

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

1301 S Crismon Rd
#C
Mesa, AZ 85209

6116 E Arbor Ave
Ste 113
Mesa, AZ 85206

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1043383003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2968 E LATHAM WAY",
            "address_2": "#110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852975267",
            "telephone_number": "480-988-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W FRYE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246282",
            "telephone_number": "480-728-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 E Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850084973",
            "country_code": "US",
            "telephone_number": "602-344-5418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "075925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172869",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.