Individual provider Active NPI

Michael James Foote, DO

  • Internal Medicine Physician
  • Pinetop, AZ
National Provider Identifier
1114990751
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4289 Issued in AZ
Practice address
3822 Rustler Cir
Pinetop, AZ 85935-8179
Phone
(928) 242-0405
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4289 AZ Primary

Addresses

Primary practice location

3822 Rustler Cir
Pinetop, AZ 85935-8179

Mailing address

PO Box 2712
Pinetop, AZ 85935-2712
Phone (928) 242-0405

Other identifiers 1

IdentifierTypeStateIssuer
953564MedicaidAZ

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
I20050912001316 AZ Practitioner - Internal Medicine 4981661121 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 229-2657

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657

Hospital & facility affiliations

  • Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Inc Internal Medicine CurrentSince Jul 1, 2009 Accepting new patients
Hospitalist Medicine Healthcare LLC CurrentSince Apr 1, 2014 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Jul 3, 2018 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Jul 1, 2009 Accepting new patients
Pinnacle Healthcare, LLC Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
App of Southern Arizona HM LLC CurrentSince May 1, 2021 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Past Accepting new patients
Oro Valley Hospital LLC Past Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine Past Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

5830 E Pima St
Tucson, AZ 85712
Phone (520) 722-5515

Organizations & group practices 10

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 3

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1114990751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2712",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859352712",
            "telephone_number": "928-242-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 RUSTLER CIR",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859358179",
            "telephone_number": "928-242-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "953564",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinetop, AZ

Sources for this page

Verify at the official NPI Registry.