NPIMap

Individual provider Active NPI

Vincent J Honan, MD

  • Gastroenterology Physician
  • Flagstaff, AZ
National Provider Identifier
1073585014
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
19895 Issued in AZ
Practice address
77 W Forest Ave Ste 210
Flagstaff, AZ 86001-1481
Phone
(928) 773-2547
Fax
(928) 773-2548
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 19895 AZ Primary

Addresses

Primary practice location

77 W Forest Ave Ste 210
Flagstaff, AZ 86001-1481

Mailing address

5343 E Palomino Rd
Phoenix, AZ 85018-1911
Phone (602) 677-2798

Other identifiers 3

IdentifierTypeStateIssuer
105892MedicaidAZ
317047OtherAZMEDICAID GROUP NUMBER
120390OtherAZMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051010000772 AZ Practitioner - Gastroenterology 8820013782 Reassigns benefits to 2 organizations
I20250806004319 WA Practitioner - Gastroenterology 8820013782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Albany Medical College of Union University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians

Practice addresses (Care Compare)

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Valleywise Health Medical Center Hospital, Phoenix, AZ, CCN 030022

Merit-based Incentive Payment System (MIPS)

Final score
81.75 of 100Reported as group
Quality
60.45
Promoting interoperability
97
Improvement activities
40
Cost
81.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Upper gastrointestinal (GI) endoscopy for acid reflux43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19895AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Mar 1, 2025 Accepting new patients
District Medical Group, Inc Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Northern Arizona Gastroenterology Gastroenterology CurrentSince Jan 2, 2024 Accepting new patients
Vincent Honan MD PLLC Gastroenterology CurrentSince Oct 1, 2024 Accepting new patients
District Medical Group, Inc Internal Medicine Past Accepting new patients
Vincent J Honan MD PC Gastroenterology PastSince Oct 11, 2005 Accepting new patients

Locations

77 W Forest Ave
Ste 210
Flagstaff, AZ 86001
Phone (602) 773-2547

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

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

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

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

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

Interoperability endpoints

  • Direct secure messaging: vhonan282274@direct.valleywisehealth.org

Organizations & group practices 8

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1073585014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5343 E PALOMINO RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181911",
            "telephone_number": "602-677-2798",
            "fax_number": "928-773-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE STE 210",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011481",
            "telephone_number": "928-773-2547",
            "fax_number": "928-773-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONAN",
        "first_name": "VINCENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "19895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105892",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "317047",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "120390",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.