NPIMap

Organization Active NPI

Grayhawk Medical Group, PLLC

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1467716639
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRAYHAWK MEDICAL GROUP, PLLC
Practice address
7920 E Thompson Peak Pkwy
Suite 100
Scottsdale, AZ 85255-7402
Phone
(480) 661-1679
Fax
(480) 661-4125
NPI assigned
Jul 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Authorized official

Name
Michael D. Nunez, MDNPI 1275686008
Title
Owner
Phone
(480) 661-1679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7920 E Thompson Peak Pkwy
Suite 100
Scottsdale, AZ 85255-7402

Mailing address

7920 E Thompson Peak Pkwy
Suite 100
Scottsdale, AZ 85255-7402
Phone (480) 661-1679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121211000324 AZ Part B Supplier - Clinic/Group Practice 2567614951 Receives reassigned benefits from 4 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

7920 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 661-1679

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2506/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1467716639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 E THOMPSON PEAK PKWY",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557402",
            "telephone_number": "480-661-1679",
            "fax_number": "480-661-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 E THOMPSON PEAK PKWY",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557402",
            "telephone_number": "480-661-1679",
            "fax_number": "480-661-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYHAWK MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-661-1679",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.