Individual provider Active NPI

James P Mead, DO

  • Emergency Medicine Physician
  • Mesa, AZ
National Provider Identifier
1386696656
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4609 Issued in AZ
Practice address
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone
(480) 456-9500
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4609 AZ Primary

Addresses

Primary practice location

1400 S Dobson Rd
Mesa, AZ 85202-4707

Mailing address

6333 E Montreal PL
Scottsdale, AZ 85254-1966

Other practice location 1

1919 Boston St SE
Grand Rapids, MI 49506-4160
Phone (616) 252-7635

Other identifiers 1

IdentifierTypeStateIssuer
243731MedicaidAZ

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
I20070717000492 AZ Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 4587699616 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Pediatric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FHMC ClinicGroup PAC ID 8729497706, 19 clinicians
Cep America- Arizona, PCGroup PAC ID 1850541970, 89 clinicians
FHMC Operating PCGroup PAC ID 2961818976, 12 clinicians

Practice addresses (Care Compare)

12000 N El Mirage Rd
El Mirage, AZ 85335-3287
Phone (480) 237-3069

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

9700 N Saguaro Blvd
Fountain Hills, AZ 85268-6241
Phone (602) 671-7990

9700 N Saguaro Blvd
Suite 100
Fountain Hills, AZ 85268-6242
Phone (602) 671-7981

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Medical Associates PLLC Emergency Medicine CurrentSince Jul 1, 2007 Accepting new patients
FHMC Clinic Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Fountain Hills Medical Center LLC CurrentSince Apr 1, 2021 Accepting new patients
FHMC Operating PC Emergency Medicine CurrentSince Feb 8, 2025 Accepting new patients

Locations

9700 N Saguaro Blvd
Ste 100
Fountain Hls, AZ 85268
Phone (602) 671-7981

9700 N Saguaro Blvd
Fountain Hls, AZ 85268
Phone (602) 671-7990

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

10146 E Old Vail Rd
Tucson, AZ 85747
Phone (520) 229-2657

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

6350 W Marana Center Blvd
Tucson, AZ 85742
Phone (520) 579-6040

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1386696656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 E MONTREAL PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024707",
            "telephone_number": "480-456-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 Boston St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495064160",
            "country_code": "US",
            "telephone_number": "616-252-7635",
            "fax_number": "616-252-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEAD",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "4609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243731",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.