Individual provider Active NPI

Joan Frances Bailey, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Phoenix, AZ
National Provider Identifier
1184615023
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A221768 Issued in AZ
Practice address
2200 N 3Rd St
Phoenix, AZ 85004-1401
Phone
(602) 258-9955
Fax
(602) 258-9933
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A221768 AZ Primary

Addresses

Primary practice location

2200 N 3Rd St
Phoenix, AZ 85004-1401

Mailing address

2200 N 3Rd St
Phoenix, AZ 85004-1401
Phone (602) 258-9955

Other identifiers 1

IdentifierTypeStateIssuer
153388MedicaidAZ

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
I20051020000368 AZ Practitioner - EndocrinologyPractitioner - Internal Medicine 9032135959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Tulane University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midtown Endocrine Associates PCGroup PAC ID 0345427894, 2 clinicians

Practice addresses (Care Compare)

2200 N 3 St
Phoenix, AZ 85004-1401

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A221768AZMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Endocrine Associates PC Endocrinology, Diabetes & Metabolism CurrentSince May 7, 2011 Accepting new patients
Grace Zlaket Matta MD LLC Past Accepting new patients

Locations

2200 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-6634

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCGHBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFIBA

Organizations & group practices 2

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 4

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1184615023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041401",
            "telephone_number": "602-258-9955",
            "fax_number": "602-258-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041401",
            "telephone_number": "602-258-9955",
            "fax_number": "602-258-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JOAN",
        "middle_name": "FRANCES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "A221768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153388",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.