Active NPI
Michelle Baribault, DO
- Surgery Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 009576
- Practice address
- 1301 S Crismon Rd
Mesa, AZ 85209-3767 - Phone
- (480) 358-6100
- NPI assigned
- Apr 11, 2017
- Last updated
- Dec 10, 2024
- Sex
- Female
- Sole proprietor
- No
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 | NU | ||
| Surgery Physician | 208600000X | 009576 | AZ | Primary |
Addresses
Primary practice location
1301 S Crismon Rd
Mesa, AZ 85209-3767
Mailing address
1301 S Crismon Rd
Mesa, AZ 85209-3767
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
- General Surgery
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10238 E Hampton Ave
Mesa, AZ 85209-3322
10510 N 92ND St
Scottsdale, AZ 85258-4566
1301 S Crimson Rd
Mesa, AZ 85209-3767
Phone (480) 358-6100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 27 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Scottsdale Healthcare Corporation | Family Medicine | Current | Accepting new patients |
| Physician Group of Arizona Inc | Current | Accepting new patients | |
| Physician Group of Arizona Inc | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Surgery | Past | Accepting new patients |
Locations
10238 E Hampton Ave
Ste 301B
Mesa, AZ 85209
Phone (480) 257-2699
10238 E Hampton Ave
Ste 301C
Mesa, AZ 85209
Phone (480) 354-3200
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
10101 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 860-1919
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
1492 S Mill Ave
Ste 113
Tempe, AZ 85281
Phone (480) 257-2770
Interoperability endpoints
- mbaribault80148@direct.honorhealth.com
Organizations & group practices 6
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.
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
dba Steward Medical Group of Arizona
- Specialist
- Phoenix, AZ
- NPI 1518137520
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
dba Steward Orthopedic and Sports Medicine
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1558901215
-
dba 92nd Street
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1447635164
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Mesa, AZ
- NPI 1659751006
-
dba HonorHealth Four Peaks Medical Center
- General Acute Care Hospital
- Mesa, AZ
- NPI 1427875061
-
- General Acute Care Hospital
- Florence, AZ
- NPI 1497572036
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1861219404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1336672807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 S CRISMON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852093767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S CRISMON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852093767",
"telephone_number": "480-358-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARIBAULT",
"first_name": "MICHELLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-11",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "009576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.