Individual provider Active NPI

Michelle Valenzuela, MD

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1154318699
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33580 Issued in AZ
Practice address
3805 E Bell Rd
Suite 5100
Phoenix, AZ 85032
Phone
(602) 923-7730
Fax
(602) 930-7833
NPI assigned
Sep 30, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 33580 AZ Primary

Addresses

Primary practice location

3805 E Bell Rd
Suite 5100
Phoenix, AZ 85032

Mailing address

205 S Dobson Rd
Suite 1
Chandler, AZ 85224-6183
Phone (480) 963-6668

Other names 1

  • Michelle Comstock Valenzuela Other name

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
I20080407000647 AZ Practitioner - Pediatric Medicine 3375620982 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children's Medical Group CurrentSince Jan 29, 2020 Accepting new patients
Phoenix Children's Hospital Pediatrics Current Accepting new patients
Healing Hearts Pediatrics Pediatrics Past Accepting new patients

Locations

205 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 963-6668

60 S Kyrene Rd
Ste 1
Chandler, AZ 85226
Phone (480) 785-8700

2550 E Guadalupe Rd
Ste 115
Gilbert, AZ 85234
Phone (480) 214-2300

3592 S Atherton Blvd
Ste 101
Gilbert, AZ 85297
Phone (480) 269-0786

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

3805 E Bell Rd
Ste 5100
Phoenix, AZ 85032
Phone (602) 923-7730

6301 S McClintock Dr
Ste 101
Tempe, AZ 85283
Phone (480) 214-2300

Interoperability endpoints

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154318699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S DOBSON RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246183",
            "telephone_number": "480-963-6668",
            "fax_number": "480-963-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD",
            "address_2": "SUITE 5100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-923-7730",
            "fax_number": "602-930-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "33580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "VALENZUELA",
            "middle_name": "COMSTOCK",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.