NPIMap

Individual provider Active NPI

Nathan Rex Duffin, D.O.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1497016190
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
006636 Issued in AZ
Practice address
1301 S Crismon Rd
Mesa, AZ 85209-3767
Phone
(602) 708-2599
NPI assigned
May 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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
Internal Medicine Physician 207R00000X 006636 AZ Primary

Addresses

Primary practice location

1301 S Crismon Rd
Mesa, AZ 85209-3767

Mailing address

1301 S Crismon Rd
Mesa, AZ 85209-3767

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
I20150603002592 AZ Practitioner - Internal MedicinePractitioner - Hospitalist 8921329814 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Consultants P.C.Group PAC ID 4183600539, 32 clinicians

Practice addresses (Care Compare)

6750 E Baywood Ave
Suite 401
Mesa, AZ 85206-1749
Phone 4808357111112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
63.74
Promoting interoperability
100
Improvement activities
40
Cost
89.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Pulmonary Consultants P.C. CurrentSince Oct 1, 2024 Accepting new patients
U Medical PLLC Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC CurrentSince Mar 29, 2015 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC CurrentSince Mar 29, 2015 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Oct 10, 2020 Accepting new patients
American Physicians, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Pulmonary Consultants P C Current Accepting new patients
American Physicians, Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Mountain Vista Medical Center LP Past Accepting new patients
4C Medical Group PLC Internal Medicine Past Accepting new patients
Honorhealth Past Accepting new patients
RHG of Arizona, PC PastSince Dec 23, 2024 Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

433 E 6th St
Mesa, AZ 85203
Phone (480) 427-3000

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

10238 E Hampton Ave
Ste 411
Mesa, AZ 85209
Phone (480) 882-4750

6750 E Baywood Ave
Ste 401
Mesa, AZ 85206
Phone (480) 835-7111

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

2163 E Baseline Rd
Ste 105
Tempe, AZ 85283
Phone (480) 775-3503

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: nduffin145504@cityofhope.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBCHBD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Prism Hospice LLCChandler, AZ, CCN 031708 Hospice Corporate Director Apr 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1497016190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S CRISMON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CRISMON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093767",
            "telephone_number": "602-708-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFIN",
        "first_name": "NATHAN",
        "middle_name": "REX",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "006636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.