Conrad Franklin Diven, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

46967 Issued in AZ

Practice address

13677 W McDowell Rd
Suite 201
Goodyear, AZ 85395

Phone

(623) 536-4200

Fax

(623) 882-4201

NPI assigned

Jul 14, 2007

Last updated

Aug 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

General SurgeryAlso: Critical Care (Intensivists)

Education

University of Arizona College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Acute Medical Services 1 PCGroup PAC ID 6204113970, 49 clinicians

Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
• Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
• Banner Ironwood Medical Center Hospital, Queen Creek, AZ, CCN 030130
• Abrazo Central Campus Hospital, Phoenix, AZ, CCN 030030
• Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122

Merit-based Incentive Payment System (MIPS)

Final score

94.9 of 100Reported as group

Promoting interoperability

94

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

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.

• Arizona Acute Medical Services 1 PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1154860674
  Medicare reassignment Care Compare group NPD
• Arizona Advanced Surgery LLC

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1346880838
  Medicare reassignment Care Compare group NPD
• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810
  NPD (past)

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

• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284
  Care Compare affiliation
• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810
  Care Compare affiliation
• Banner Gateway Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1699884858
  Care Compare affiliation
• Banner Ironwood Medical Center

  • General Acute Care Hospital
  • Queen Creek, AZ
  • NPI 1124341672
  Care Compare affiliation
• VHS of Phoenix Inc

  dba Abrazo Central Campus

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1477537363
  Care Compare affiliation

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1386843811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST STE 3015",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202425",
            "telephone_number": "602-633-3721",
            "fax_number": "602-595-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13677 W MCDOWELL RD",
            "address_2": "SUITE 201",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-536-4200",
            "fax_number": "623-882-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVEN",
        "first_name": "CONRAD",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-14",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "46967",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AZ",
            "license": "46967",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "AZ",
            "license": "46967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "901433",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Dillon, CCC-SLP
• Jennifer S Dimas, WHNP-BC
• Jocelyn Abueva Dimeco, FNP
• Jeremy R Ding, PHARMD
• Sarah Marie Disney
• Divergent Recovery LLC
• Divine Assurance Behavioral Health Residentail Care LLC
• Divine Assurance Behavioral Health Residentail Care LLC
• Divine Interventional Psychiatry PLLC
• Corinne Dixon

• Surgery Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.

Verify at the official NPI Registry.