Organization Active NPI

Accredited Internal Medicine P.C.

  • Addiction Medicine (Internal Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1194993600
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
ACCREDITED INTERNAL MEDICINE P.C.
Practice address
921 W Camelback Rd
Phoenix, AZ 85013
Phone
(480) 961-0014
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Dr. Michael Warren Carlton, M.D.
Title
Owner
Phone
(480) 961-0014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

921 W Camelback Rd
Phoenix, AZ 85013

Mailing address

2875 W. Ray Rd
Suite 6-317
Chandler, AZ 85224
Phone (480) 961-0014

Other identifiers 1

IdentifierTypeStateIssuer
169187MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2875 W Ray Rd
Ste 6317
Chandler, AZ 85224
Phone (562) 822-2772

3035 S Ellsworth Rd
Ste 119
Mesa, AZ 85212
Phone (480) 961-0014

4350 E Ray Rd
Ste 101B
Phoenix, AZ 85044
Phone (480) 759-1437

13838 S 46th Pl
Ste 120
Phoenix, AZ 85044
Phone (480) 550-9396

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1194993600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 W. RAY RD",
            "address_2": "SUITE 6-317",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-961-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85013",
            "telephone_number": "480-961-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCREDITED INTERNAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-961-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169187",
            "state": "AZ"
        }
    ],
    "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 Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.