Individual provider Active NPI

Miki M Crane, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1326037094
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51313 Issued in AZ
Practice address
8616 E Broadway Blvd
Tucson, AZ 85710-4014
Phone
(520) 468-4809
Fax
(520) 337-7260
NPI assigned
Oct 17, 2005
Last updated
Jun 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101235743 VA
Internal Medicine Physician 207R00000X MD034719 DC
Internal Medicine Physician 207R00000X 35-095245 OH
Internal Medicine Physician 207R00000X 51313 AZ Primary

Addresses

Primary practice location

8616 E Broadway Blvd
Tucson, AZ 85710-4014

Mailing address

8616 E Broadway Blvd
Tucson, AZ 85710-4014
Phone (520) 468-4809

Other identifiers 1

IdentifierTypeStateIssuer
0057667MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20250918003284 OR Practitioner - Internal Medicine 0345402715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2370 Corporate Cir
Suite 300
Henderson, NV 89074-7752

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51313AZMDInternal Medicine Physician
MD034719DCMDInternal Medicine Physician
35-095245OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
P3 Medical Group PC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950

3190 State St
Ste 102
Medford, OR 97504
Phone (541) 537-8007

1813 W Harvard Ave
Ste 434
Roseburg, OR 97471
Phone (541) 440-5320

Interoperability endpoints

  • Direct secure messaging: miki.crane.1@17260.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1326037094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104014",
            "telephone_number": "520-468-4809",
            "fax_number": "520-337-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104014",
            "telephone_number": "520-468-4809",
            "fax_number": "520-337-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "MIKI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101235743",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD034719",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-095245",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "51313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057667",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.