NPIMap

Individual provider Active NPI

Michelle DO Huynh, DO

  • Family Medicine Physician
  • Guadalupe, AZ
National Provider Identifier
1467912873
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
009818 Issued in AZ
Practice address
5825 E Calle Guadalupe
Guadalupe, AZ 85283-2664
Phone
(480) 344-6000
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 009818 AZ Primary

Addresses

Primary practice location

5825 E Calle Guadalupe
Guadalupe, AZ 85283-2664

Mailing address

2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000

Other practice location 1

3535 Madison Ave Unit 213
San Diego, CA 92116-3562
Phone (562) 607-9530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220923002733 AZ Practitioner - Family Practice 7315322583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maricopa County Special Health Care DistrictGroup PAC ID 4688583651, 124 clinicians
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians

Practice addresses (Care Compare)

2525 E Roosevelt St
Phoenix, AZ 85008-4948
Phone (602) 344-1159

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

Hospital & facility affiliations

  • Valleywise Health Medical Center Hospital, Phoenix, AZ, CCN 030022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009818AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District CurrentSince Sep 15, 2022 Accepting new patients
District Medical Group, Inc CurrentSince Sep 1, 2022 Accepting new patients
Maricopa County Special Health Care District Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
Maricopa County Special Health Care District CurrentSince Sep 15, 2022 Accepting new patients
District Medical Group, Inc CurrentSince Sep 1, 2022 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations

5825 E Calle Guadalupe
Guadalupe, AZ 85283
Phone (480) 344-6000

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2025 W Northern Ave
Phoenix, AZ 85021
Phone (602) 344-5253

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/75620b41-1ac4-4c73-abd7-1415dc6810c3/
  • Direct secure messaging: mhuynh246930@direct.valleywisehealth.org

Organizations & group practices 7

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 12

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1467912873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5000",
            "fax_number": "602-470-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 E CALLE GUADALUPE",
            "city": "GUADALUPE",
            "state": "AZ",
            "postal_code": "852832664",
            "telephone_number": "480-344-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Madison Ave Unit 213",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921163562",
            "country_code": "US",
            "telephone_number": "562-607-9530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "MICHELLE",
        "middle_name": "DO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "009818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guadalupe, AZ

Sources for this page

Verify at the official NPI Registry.