Individual provider Active NPI

Michael Joseph Debo, D.O.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1376802611
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
006831 Issued in AZ
Practice address
350 W Thomas Rd
Steinegger Building
Phoenix, AZ 85013-4409
Phone
(559) 335-3326
NPI assigned
May 7, 2012
Last updated
Jul 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101019668 MI
Internal Medicine Physician 207R00000X 006831 AZ Primary

Addresses

Primary practice location

350 W Thomas Rd
Steinegger Building
Phoenix, AZ 85013-4409

Mailing address

6106 E Gelding Dr
Scottsdale, AZ 85254-5518
Phone (716) 830-1872

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161020001534 AZ Practitioner - Hospice/Palliative Care 0345560314 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of the Valley Family Medicine CurrentSince Aug 31, 2023 Accepting new patients
Hospice of the Valley Family Medicine CurrentSince Aug 31, 2023 Accepting new patients

Locations

1510 E Flower St
Phoenix, AZ 85014
Phone (602) 530-6900

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

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": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1376802611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 E GELDING DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545518",
            "telephone_number": "716-830-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "address_2": "STEINEGGER BUILDING",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "559-335-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101019668",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "006831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.