Individual provider Active NPI

Michael G. Crincoli, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Denver, CO
National Provider Identifier
1497728372
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
CDR.0000553 Issued in CO
Practice address
1601 E 19TH Ave Ste 3650
Denver, CO 80218-1282
Phone
(720) 583-5379
Fax
(888) 384-2827
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 82036 MA
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X CDR.0000553 CO Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 44220 AZ

Addresses

Primary practice location

1601 E 19TH Ave Ste 3650
Denver, CO 80218-1282

Mailing address

6807 N 14TH St
Phoenix, AZ 85014-1133
Phone (617) 538-3650

Other practice location 1

5017 E Washington St Ste 107C
Phoenix, AZ 85034-2033
Phone (602) 616-8917

Other practice location 2

755 E McDowell Rd Fl 2
Phoenix, AZ 85006-2506
Phone (602) 521-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130823000102 AZ Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 1557263878 Reassigns benefits to 4 organizations
I20200121001575 CO Practitioner - Physical Medicine and Rehabilitation 1557263878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner - University Physician Specialists LLCGroup PAC ID 5991008054, 343 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

1300 N 12TH St
Suite 508
Phoenix, AZ 85006-2849
Phone (602) 839-3927

1601 E 19 Ave
Suite 3650
Denver, CO 80218-1282
Phone (720) 583-5379

1601 E 19TH Ave
Suite 3650
Denver, CO 80218-1282

2225 W Southern Ave
Mesa, AZ 85202-4716
Phone (623) 888-3502

5017 E Washington St
Suite 107C
Phoenix, AZ 85034-2033
Phone (602) 616-8917

755 E McDowell Rd
Phoenix, AZ 85006-2506
Phone (602) 521-3086

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR.0000553COMDSports Medicine (Physical Medicine & Rehabilitation) Physician
82036MAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Jun 1, 2013 Accepting new patients
Southwest Physiatry PLLC Sports Medicine CurrentSince Dec 6, 2017 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Jun 1, 2013 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Mar 1, 2020 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner Physician Specialists Arizona LLC Current Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Mar 1, 2020 Accepting new patients
Post-Acute Physicians of Arizona PLLC Physical Medicine & Rehabilitation Past Accepting new patients
Synergy DME PastSince Jun 1, 2004 Accepting new patients
Michaelcrincoli, PC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

925 E McDowell Rd
Fl 3
Phoenix, AZ 85006
Phone (602) 839-5895

5017 E Washington St
Ste 107C
Phoenix, AZ 85034
Phone (602) 616-8917

755 E McDowell Rd
Fl 2
Phoenix, AZ 85006
Phone (602) 521-3250

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1320 N 10th St
Ste B
Phoenix, AZ 85006
Phone (602) 631-3181

4550 E Bell Rd
Ste 152
Phoenix, AZ 85032
Phone (602) 258-9663

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

1012 E Willetta St
Phoenix, AZ 85006
Phone (602) 239-6040

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

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

1601 E 19th Ave
Ste 3650
Denver, CO 80218
Phone (303) 226-7400

Organizations & group practices 12

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 1

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1497728372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 N 14TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141133",
            "telephone_number": "617-538-3650",
            "fax_number": "888-384-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 3650",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181282",
            "telephone_number": "720-583-5379",
            "fax_number": "888-384-2827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5017 E Washington St Ste 107C",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850342033",
            "country_code": "US",
            "telephone_number": "602-616-8917",
            "fax_number": "888-384-2827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 E McDowell Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062506",
            "country_code": "US",
            "telephone_number": "602-521-3300",
            "fax_number": "602-521-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRINCOLI",
        "first_name": "MICHAEL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MA",
            "license": "82036",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CO",
            "license": "CDR.0000553",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "AZ",
            "license": "44220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.