Active NPI
Michael James McKernan, MD
- Orthopaedic Surgery Physician
- Sun City West, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 68920
- Practice address
- 14520 W Granite Valley Dr Ste 210
Sun City West, AZ 85375 - Phone
- (866) 974-2673
- Fax
- (866) 939-2673
- NPI assigned
- Mar 29, 2017
- Last updated
- Aug 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery Physician | 207X00000X | ME154149 | FL | |
| Orthopaedic Surgery Physician | 207X00000X | 68920 | AZ | Primary |
Addresses
Primary practice location
14520 W Granite Valley Dr Ste 210
Sun City West, AZ 85375
Mailing address
18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673
Other practice location 1
13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone (813) 978-9700
Other practice location 2
1 Park West Blvd
#330
Akron, OH 44320-4218
Phone (330) 853-5533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127695 | Medicaid | AZ | |
| 207X00000X | Other | FL | TAXONOMY |
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
- Orthopedic Surgery
- Education
- University of Toledo College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BHSM Rehabilitation LLCKeystone Rehabilitation Systems Inc
Practice addresses (Care Compare)
14520 W Granite Valley Dr
Suite 210
Sun City West, AZ 85375-5855
Phone (866) 974-2673
25101 N Lake Pleasant Pkwy
Peoria, AZ 85383-1386
Phone (602) 610-6866
321 N Furnace St
Birdsboro, PA 19508-2057
Phone (610) 582-2250
Hospital & facility affiliations
- Enhabit Home Health
- The Core Institute Specialty Hosp
- Banner del E. Webb Medical Center
- Wickenburg Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.94 of 100
- Quality
- 81.7
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 130 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopedic Research and Education LLC | Current | Accepting new patients | |
| Center for Orthopedic Research and Education, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706
10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311
Interoperability endpoints
- michael.mckernan.1@22724.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.
-
dba The CORE Institute
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1427095801
-
dba The Core Institute
- Durable Medical Equipment & Medical Supplies
- Flagstaff, AZ
- NPI 1063251056
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
-
dba Wickenburg Community Hospital
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
dba Enhabit Home Health
- Home Health Agency
- Glendale, AZ
- NPI 1356735609
-
dba The Core Institute Specialty Hospital
- Special Hospital
- Phoenix, AZ
- NPI 1902881295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1356873392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE STE 310",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231266",
"telephone_number": "866-974-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14520 W GRANITE VALLEY DR STE 210",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "85375",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
}
],
"practiceLocations": [
{
"address_1": "13020 N Telecom Pkwy",
"address_purpose": "LOCATION",
"city": "Temple Terrace",
"state": "FL",
"postal_code": "336370925",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Park West Blvd",
"address_2": "#330",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443204218",
"country_code": "US",
"telephone_number": "330-853-5533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKERNAN",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-29",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME154149",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "68920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127695",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "207X00000X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.