Individual provider Active NPI

Daniel E Miga, MD

  • Pediatric Cardiology Physician
  • Mesa, AZ
National Provider Identifier
1063455178
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
50341 Issued in AZ
Practice address
1432 S Dobson Rd Ste 512
Mesa, AZ 85202-4778
Phone
(480) 412-6336
Fax
(480) 412-8013
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 50341 AZ Primary

Addresses

Primary practice location

1432 S Dobson Rd Ste 512
Mesa, AZ 85202-4778

Mailing address

1432 S Dobson Rd Ste 512
Mesa, AZ 85202-4778
Phone (480) 412-6336

Other practice location 1

601 Elmwood Ave
Box 631
Rochester, NY 14642-0001
Phone (585) 275-6108

Other identifiers 1

IdentifierTypeStateIssuer
02103208MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021000802 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 3173799962 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
State University of New York at Buffalo School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Physician Super Specialists Arizona LLCGroup PAC ID 7911173794, 6 clinicians

Practice addresses (Care Compare)

1432 S Dobson Rd
Mesa, AZ 85202-4773

1432 S Dobson Rd
Mesa, AZ 85202-4778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50341AZMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Jul 5, 2016 Accepting new patients
District Medical Group, Inc Pediatrics CurrentSince Nov 10, 2018 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Aug 2, 2015 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jul 5, 2016 Accepting new patients
Jewish Family & Children'S Service CurrentSince Sep 1, 2018 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Nov 10, 2018 Accepting new patients
Jewish Family & Children'S Service CurrentSince Sep 1, 2018 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Aug 2, 2015 Accepting new patients
Banner Physician Super Specialists Arizona LLC Current Accepting new patients
District Medical Group, Inc Pediatrics Past Accepting new patients

Locations

20751 W Market St
Buckeye, AZ 85396
Phone (623) 463-5000

1760 E Florence Blvd
Ste 100
Casa Grande, AZ 85122
Phone (520) 374-6505

5310 W Thunderbird Rd
Ste 110
Glendale, AZ 85306
Phone (602) 865-4065

14419 W McDowell Rd
Ste E102
Goodyear, AZ 85395
Phone (623) 465-6030

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1432 S Dobson Rd
Ste 512
Mesa, AZ 85202
Phone (480) 412-6336

4375 E Irma Ln
Phoenix, AZ 85050
Phone (480) 890-5800

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1063455178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 512",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024778",
            "telephone_number": "480-412-6336",
            "fax_number": "480-412-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 512",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024778",
            "telephone_number": "480-412-6336",
            "fax_number": "480-412-8013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Ave",
            "address_2": "Box 631",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "585-275-6108",
            "fax_number": "585-442-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIGA",
        "first_name": "DANIEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "50341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02103208",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.