Individual provider Active NPI

Michael Andrew Wilk, M.D.

  • Hospitalist Physician
  • Glendale, AZ
National Provider Identifier
1386050383
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
65100 Issued in AZ
Practice address
20118 N 67TH Ave Ste 300-610
Glendale, AZ 85308-4621
Phone
(623) 505-4590
NPI assigned
Jul 10, 2014
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 65100 AZ
Internal Medicine Physician 207R00000X 11044A WY
Hospitalist Physician 208M00000X 65100 AZ Primary

Addresses

Primary practice location

20118 N 67TH Ave Ste 300-610
Glendale, AZ 85308-4621

Mailing address

20118 N 67TH Ave Ste 300-610
Glendale, AZ 85308-4621
Phone (623) 505-4590

Other practice location 1

42104 N Venture Dr
Anthem, AZ 85086-3823
Phone (623) 879-6100

Other practice location 2

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 578-2450

Other practice location 3

1233 E 2nd St
Casper, WY 82601-2926
Phone (307) 577-7201

Other practice location 4

19829 N 27th Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170619000447 WY Practitioner - Internal Medicine 9234417528 Reassigns benefits to 2 organizations
I20211229002233 AZ Practitioner - Hospitalist 9234417528 Reassigns benefits to 3 organizations
Practice locations: Glendale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of Wyoming LLCGroup PAC ID 8325214828, 41 clinicians
Dvma LLCGroup PAC ID 0941302053, 56 clinicians

Practice addresses (Care Compare)

1233 E 2ND St
Casper, WY 82601-2926
Phone (800) 822-7201

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65100AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dvma, LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
West Park Hospital District CurrentSince Oct 11, 2022 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
American Physicians, Inc. Hospitalist CurrentSince Oct 15, 2022 Accepting new patients
Vituity - Arizona Hospitalists PC Internal Medicine Current Accepting new patients
American Physicians, Inc Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Vituity - Arizona Hospitalists PC Hospitalist CurrentSince Dec 19, 2022 Accepting new patients
West Park Hospital District CurrentSince Oct 11, 2022 Accepting new patients
Sound Physicians of Wyoming, LLC Internal Medicine CurrentSince May 6, 2017 Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-5600

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

424 Yellowstone Ave
Cody, WY 82414
Phone (307) 578-2903

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1386050383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE STE 300-610",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "623-505-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE STE 300-610",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "623-505-4590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42104 N Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850863823",
            "country_code": "US",
            "telephone_number": "623-879-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 Sheridan Ave",
            "address_purpose": "LOCATION",
            "city": "Cody",
            "state": "WY",
            "postal_code": "824143409",
            "country_code": "US",
            "telephone_number": "307-578-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1233 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012926",
            "country_code": "US",
            "telephone_number": "307-577-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19829 N 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850274001",
            "country_code": "US",
            "telephone_number": "623-879-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILK",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "65100",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "11044A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "65100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.