Active NPI
Auguste Shimwa Niyibizi, DO
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101028352
- Practice address
- 3833 E Thomas Rd Ste A2
Phoenix, AZ 85018-7523 - Phone
- (602) 671-7066
- NPI assigned
- Jul 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101028352 | MI | Primary |
| Family Medicine Physician | 207Q00000X | 011390 | AZ | |
| Hospitalist Physician | 208M00000X | 011390 | AZ | |
| Hospitalist Physician | 208M00000X | 5101028352 | MI |
Addresses
Primary practice location
3833 E Thomas Rd Ste A2
Phoenix, AZ 85018-7523
Mailing address
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-2321
Other practice location 1
3536 W Glendale Ave
Phoenix, AZ 85051-8395
Phone (480) 619-0177
Other practice location 2
6052 N 59th Ave
Glendale, AZ 85301-7709
Phone (480) 618-0176
Other practice location 3
13030 W Thunderbird Rd
El Mirage, AZ 85335-3256
Phone (623) 505-1081
Other practice location 4
10705 W Peoria Ave
Sun City, AZ 85351-4061
Phone (623) 259-6749
Other practice location 5
1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-2321
Other practice location 6
745 E Guadalupe Rd
Tempe, AZ 85283-2911
Phone (480) 618-0123
Other practice location 7
5110 W McDowell Rd
Phoenix, AZ 85035-3862
Phone (602) 671-7068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Michigan State University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100
2850 E Main St
Suite 106
Mesa, AZ 85213-9304
Phone (480) 618-0019
3833 E Thomas Rd
Suite A2
Phoenix, AZ 85018-7523
Phone (602) 671-7066
Hospital & facility affiliations
- Honorhealth Deer Valley Medical Center
- Northern Cochise Community Hospital, Inc.
- Wickenburg Community Hospital
- Northern Cochise Community Hospital, Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011390 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current | Accepting new patients | |
| Vituity - Arizona Hospitalists PC | Hospitalist | Current | Accepting new patients |
| Banner-University Medical Group | Current | Accepting new patients | |
| Oak Street Health Physicians Group of Arizona PLLC | Family Medicine | Current | Accepting new patients |
| Signify Health, LLC | Current | Accepting new patients | |
| Vituity - Michigan Hospitalists PC | Family Medicine | Current | Accepting new patients |
| Vituity - Arizona Hospitalists PC | Hospitalist | Current | Accepting new patients |
| Northern Cochise Community Hospital Inc | Past | Accepting new patients | |
| Honorhealth | Past | Accepting new patients | |
| Nova Physician Group PLLC | Past | Accepting new patients | |
| Banner-University Medical Group | Family Medicine | Past | Accepting new patients |
Locations
183 W Apache Trl
Ste B109
Apache Junction, AZ 85120
Phone (480) 618-0945
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
13030 W Thunderbird Rd
El Mirage, AZ 85335
Phone (480) 956-5900
6052 N 59th Ave
Glendale, AZ 85301
Phone (480) 618-0176
2850 E Main St
Ste 106
Mesa, AZ 85213
Phone (480) 618-0019
5110 W McDowell Rd
Phoenix, AZ 85035
Phone (602) 671-7068
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
3833 E Thomas Rd
Ste A2
Phoenix, AZ 85018
Phone (602) 671-7066
3536 W Glendale Ave
Phoenix, AZ 85051
Phone (480) 618-0177
10705 W Peoria Ave
Sun City, AZ 85351
Phone (623) 259-6749
745 E Guadalupe Rd
Tempe, AZ 85283
Phone (480) 618-0123
1625 N Campbell Ave
Tucson, AZ 85719
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
3820 N Oracle Rd
Tucson, AZ 85705
Phone (520) 200-6707
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 13
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.
-
- Primary Care Clinic/Center
- Apache Junction, AZ
- NPI 1063083590
Family Medicine
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1770109704
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Family Medicine
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
- Critical Access Hospital
- Willcox, AZ
- NPI 1013060367
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1639842677
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1912629916
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- Critical Access Hospital
- Willcox, AZ
- NPI 1235383548
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- Critical Access Hospital
- Willcox, AZ
- NPI 1013060367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1194342360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3833 E THOMAS RD STE A2",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850187523",
"telephone_number": "602-671-7066"
}
],
"practiceLocations": [
{
"address_1": "3536 W Glendale Ave",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850518395",
"country_code": "US",
"telephone_number": "480-619-0177",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6052 N 59th Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853017709",
"country_code": "US",
"telephone_number": "480-618-0176",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13030 W Thunderbird Rd",
"address_purpose": "LOCATION",
"city": "El Mirage",
"state": "AZ",
"postal_code": "853353256",
"country_code": "US",
"telephone_number": "623-505-1081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10705 W Peoria Ave",
"address_purpose": "LOCATION",
"city": "Sun City",
"state": "AZ",
"postal_code": "853514061",
"country_code": "US",
"telephone_number": "623-259-6749",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 University Of New Mexico",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-272-2321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "745 E Guadalupe Rd",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852832911",
"country_code": "US",
"telephone_number": "480-618-0123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5110 W McDowell Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850353862",
"country_code": "US",
"telephone_number": "602-671-7068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIYIBIZI",
"first_name": "AUGUSTE",
"middle_name": "SHIMWA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-02",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101028352",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "011390",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "011390",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "5101028352",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.