Active NPI
Treis R Lum, DO
- General Practice Physician
- Phoenix, AZ
National Provider Identifier
1326096256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 1261
- Practice address
- 20950 N Tatum Blvd
Suite 190
Phoenix, AZ 85050-4200 - Phone
- (480) 776-0022
- NPI assigned
- May 4, 2006
- Last updated
- Oct 16, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 1261 | AZ | Primary |
Addresses
Primary practice location
20950 N Tatum Blvd
Suite 190
Phoenix, AZ 85050-4200
Mailing address
12366 W. Milton Dr.
Peoria, AZ 85383-7614
Phone (928) 501-9581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1261 | AZ | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abrazo Medical Group Urgent Care LLC | Past | Accepting new patients | |
| Banner Urgent Care - Surprise | Past | Accepting new patients | |
| Team Physicians of Arizona PC | Past | Accepting new patients | |
| Banner Sun City Medical Group | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Scottsdale, AZ
- NPI 1174847016
-
- Multi-Specialty Clinic/Center
- Sun City, AZ
- NPI 1902067200
-
- Urgent Care Clinic/Center
- Surprise, AZ
- NPI 1649406273
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1710915764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287187200000",
"number": "1326096256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12366 W. MILTON DR.",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853837614",
"telephone_number": "928-501-9581",
"fax_number": "928-501-9582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20950 N TATUM BLVD",
"address_2": "SUITE 190",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850504200",
"telephone_number": "480-776-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUM",
"first_name": "TREIS",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2010-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "1261",
"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 Oct 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.