Individual provider Active NPI

Joseph Seelbaugh, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1275997868
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4444444 Issued in AZ
Practice address
1300 N 12TH St
Suite 605
Phoenix, AZ 85006-2848
Phone
(602) 839-4567
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4444444 AZ Primary

Addresses

Primary practice location

1300 N 12TH St
Suite 605
Phoenix, AZ 85006-2848

Mailing address

4200 E Camelback Rd Ste 202
Phoenix, AZ 85018-2718

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
I20190917001165 AZ Practitioner - Family PracticePractitioner - Hospitalist 0446520944 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner - University Primary Care Physicians LLCGroup PAC ID 2365746450, 45 clinicians

Practice addresses (Care Compare)

4200 E Camelback Rd
Suite 202
Phoenix, AZ 85018-2718
Phone (602) 229-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4444444AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Apr 22, 2020 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Apr 22, 2020 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Wesley Community Center Inc Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Apr 22, 2020 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Apr 22, 2020 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Wesley Community Center, Inc CurrentSince Jan 1, 2020 Accepting new patients
Wesley Community Center, Inc CurrentSince Jan 1, 2020 Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients

Locations

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

2225 W Southern Ave
Mesa, AZ 85202
Phone (480) 412-4101

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

4400 N 32nd St
Ste 200
Phoenix, AZ 85018
Phone (602) 522-1900

1300 S 10th St
Phoenix, AZ 85034
Phone (602) 257-4323

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 1

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1275997868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 E CAMELBACK RD STE 202",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "SUITE 605",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-839-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELBAUGH",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4444444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.