Individual provider Active NPI

Michael Karl McKinney, MD PA

  • Gastroenterology Physician
  • Cottonwood, AZ
National Provider Identifier
1528050135
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
24574 Issued in AZ
Practice address
401 S Calvary Way
Ste. D
Cottonwood, AZ 86326-4165
Phone
(928) 203-9600
Fax
(928) 203-9601
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 24574 AZ Primary

Addresses

Primary practice location

401 S Calvary Way
Ste. D
Cottonwood, AZ 86326-4165

Mailing address

401 S Calvary Way
Ste. D
Cottonwood, AZ 86326-4165
Phone (928) 203-9600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000245 AZ Practitioner - GastroenterologyPractitioner - Internal Medicine 3072533611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Oklahoma College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Arizona Healthcare CorporationGroup PAC ID 3577473362, 391 clinicians

Practice addresses (Care Compare)

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

340 S Willard St
Cottonwood, AZ 86326-4126
Phone (928) 639-6025

Hospital & facility affiliations

  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007

Merit-based Incentive Payment System (MIPS)

Final score
92.49 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Upper gastrointestinal (GI) endoscopy for acid reflux30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Healthcare Corporation Internal Medicine CurrentSince Nov 5, 2025 Accepting new patients
Humanity Health Providers, LLC Gastroenterology CurrentSince Jul 12, 2014 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Nov 5, 2025 Accepting new patients
Farshid Paydar MD PC PastSince Jul 12, 2014 Accepting new patients

Locations

401 S Calvary Way
Ste B
Cottonwood, AZ 86326
Phone (928) 634-6369

657 E Cottonwood St
Ste 9
Cottonwood, AZ 86326
Phone (928) 203-4844

340 S Willard St
Ste 101
Cottonwood, AZ 86326
Phone (928) 639-2015

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

401 S Calvary Way
Ste D
Cottonwood, AZ 86326
Phone (602) 613-5473

203 S Candy Ln
Ste 2A
Cottonwood, AZ 86326
Phone (928) 532-7599

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

95 Soldiers Pass Rd
Ste B
Sedona, AZ 86336
Phone (928) 203-4357

2155 W State Route 89A
Ste 105
Sedona, AZ 86336
Phone (928) 203-9600

Interoperability endpoints

  • Direct secure messaging: mmckinney@hhp.directbygreenway.com

Organizations & group practices 4

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 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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1528050135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S CALVARY WAY",
            "address_2": "STE. D",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264165",
            "telephone_number": "928-203-9600",
            "fax_number": "928-203-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S CALVARY WAY",
            "address_2": "STE. D",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264165",
            "telephone_number": "928-203-9600",
            "fax_number": "928-203-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "MICHAEL",
        "middle_name": "KARL",
        "name_prefix": "Mr.",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "24574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.