Individual provider Active NPI

Katherine Ena McCuaig, MD

  • Surgery Physician
  • Mesa, AZ
National Provider Identifier
1467484659
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
21138 Issued in AZ
Practice address
6641 E Baywood Ave
Suite B-3
Mesa, AZ 85206-1723
Phone
(480) 827-7979
Fax
(480) 654-7173
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 21138 AZ Primary

Addresses

Primary practice location

6641 E Baywood Ave
Suite B-3
Mesa, AZ 85206-1723

Mailing address

6242 E Arbor Ave
Suite 101
Mesa, AZ 85206-1309
Phone (480) 827-7979

Other identifiers 1

IdentifierTypeStateIssuer
020048072OtherAZMEDICARE RAILROAD

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
I20101019000958 AZ Practitioner - General Surgery 2567354939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Physician Specialists Arizona LLCGroup PAC ID 6204002272, 371 clinicians

Practice addresses (Care Compare)

6553 E Baywood Ave
Suite 101
Mesa, AZ 85206-1753
Phone (480) 543-6750

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Casa Grande, AZ, CCN 037252
  • Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue192

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Mar 19, 2018 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Mar 19, 2018 Accepting new patients

Locations

1828 E Florence Blvd
Ste 139
Casa Grande, AZ 85122
Phone (520) 381-6150

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

6553 E Baywood Ave
Ste 101
Mesa, AZ 85206
Phone (480) 543-6750

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Organizations & group practices 3

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 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1467484659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6242 E ARBOR AVE",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061309",
            "telephone_number": "480-827-7979",
            "fax_number": "480-654-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 E BAYWOOD AVE",
            "address_2": "SUITE B-3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061723",
            "telephone_number": "480-827-7979",
            "fax_number": "480-654-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUAIG",
        "first_name": "KATHERINE",
        "middle_name": "ENA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "21138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "020048072",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.