Individual provider Active NPI

Auguste Shimwa Niyibizi, DO

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1194342360
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101028352 Issued in MI
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

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250108002105 MI Practitioner - Hospitalist 0143640961 Reassigns benefits to 1 organization
I20250116001117 AZ Practitioner - HospitalistPractitioner - Family Practice 0143640961 Reassigns benefits to 3 organizations
I20260123001268 AZ Practitioner - Family Practice 0143640961 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians

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

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
011390AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Jan 26, 2026 Accepting new patients
Vituity - Arizona Hospitalists PC Hospitalist CurrentSince Mar 1, 2025 Accepting new patients
Banner-University Medical Group CurrentSince Jan 26, 2026 Accepting new patients
Oak Street Health Physicians Group of Arizona PLLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Apr 16, 2025 Accepting new patients
Vituity - Michigan Hospitalists PC Family Medicine CurrentSince Feb 1, 2025 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 PastSince May 7, 2024 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.

View all 13

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": "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

Verify at the official NPI Registry.