Active NPI
Donald K Maxwell, DO
- Critical Care Medicine (Internal Medicine) Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 3821
- Practice address
- 1400 S Dobson Rd
Mesa, AZ 85202-4707 - Phone
- (480) 412-6042
- Fax
- (480) 412-5235
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 3821 | AZ | Primary |
| Internal Medicine Physician | 207R00000X | 3821 | AZ |
Addresses
Primary practice location
1400 S Dobson Rd
Mesa, AZ 85202-4707
Mailing address
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-6042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 736788 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070611000167 | AZ | Practitioner - Critical Care (Intensivists) | 9436257706 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Ohio University, College of Osteopathic Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Hospital Based Physicians Arizona LLC
Practice addresses (Care Compare)
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000
1405 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 256-7000
Hospital & facility affiliations
- Banner Desert Medical Center
- Banner Ocotillo Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.7 of 100
- Quality
- 64.97
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 69.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Hospital Based Physicians Arizona LLC | Critical Care Medicine | Current | Accepting new patients |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| SSM Health Care St. Louis | Internal Medicine | Past | Accepting new patients |
| Progressive Medical Intensivists | Internal Medicine | Past | Accepting new patients |
| Banner Desert Medical Center | Past | Accepting new patients | |
| Arizona Specialty Physicians | Past | Accepting new patients | |
| SSM Health Care St. Louis | Internal Medicine | Past | Accepting new patients |
| Progressive Medical Associates PLLC | Past | Accepting new patients |
Locations
1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
AZ
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1124374822
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1780445171
Critical Care Medicine
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1922049634
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1548218613
-
- Critical Care Medicine (Internal Medicine) Physician
- Mesa, AZ
- NPI 1619087731
Internal Medicine
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
Internal Medicine
-
- Emergency Medical Services (Emergency Medicine) Physician
- Lake St Louis, MO
- NPI 1538113097
Internal Medicine
Hospital & facility affiliations 2
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": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1508841560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S DOBSON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852024707",
"telephone_number": "480-412-6042",
"fax_number": "480-412-5235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S DOBSON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852024707",
"telephone_number": "480-412-6042",
"fax_number": "480-412-5235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "DONALD",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AZ",
"license": "3821",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "3821",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "736788",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.