Active NPI
Micah Rogers, DO
- Anesthesiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 008968
- Practice address
- 645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351 - Phone
- (602) 262-8917
- NPI assigned
- Apr 6, 2016
- Last updated
- Jul 16, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 008968 | AZ | Primary |
Addresses
Primary practice location
645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351
Mailing address
1737 E Garnet Ave
Mesa, AZ 85204-6013
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 622-5833
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008968 | AZ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Anesthesiology Consultants, Inc. | Anesthesiology | Current | Accepting new patients |
| Northwest HBP Medical Services LLC | Current | Accepting new patients | |
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Anesthesiology | Current | Accepting new patients |
| Banner-University Medical Group | Current | Accepting new patients |
Locations
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098
1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760
645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
1625 N Campbell Ave
Tucson, AZ 85719
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Anesthesiology
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285660704
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1508673682
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
-
dba Northwest Medical Center
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
-
dba St. Marys Hospital
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265818488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1225492234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1737 E GARNET AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852046013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 E MISSOURI AVE STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121351",
"telephone_number": "602-262-8917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "MICAH",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-06",
"last_updated": "2021-07-16",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "008968",
"primary": true
}
],
"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 Jul 16, 2021; 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.