NPIMap

Individual provider Active NPI

Michael Leo Mintz, DO

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1316924095
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2719 Issued in AZ
Practice address
2000 W Bethany Home Rd
Phoenix, AZ 85019
Phone
(602) 249-0212
NPI assigned
Dec 23, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2719 AZ Primary

Addresses

Primary practice location

2000 W Bethany Home Rd
Phoenix, AZ 85019

Mailing address

948 E Beck Lane
Phoenix, AZ 85022
Phone (602) 789-6643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070911000814 AZ Practitioner - Internal MedicinePractitioner - Emergency Medicine 9234222902 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

1910 S Gilbert Rd
Mesa, AZ 85204-6808
Phone (888) 732-3317

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2719AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Jul 1, 2025 Accepting new patients
Phoenix Emergency Physicians LLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Usacs Emergency Medicine of Arizona, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Emergency Physicians Professional Association LTD Emergency Medicine Past Accepting new patients
Mesa General Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

251 N Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 322-6900

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1910 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 410-6150

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

Organizations & group practices 8

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.

Hospital & facility affiliations 12

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316924095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 E BECK LANE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85022",
            "telephone_number": "602-789-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W BETHANY HOME RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85019",
            "telephone_number": "602-249-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "MICHAEL",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "2719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.