NPIMap

Individual provider Active NPI

Michael Stuart Biscoe, MD

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1538150321
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20915 Issued in AZ
Practice address
4838 E Baseline Rd
BLDG. 2 Ste. 110
Mesa, AZ 85206-4671
Phone
(480) 892-2800
Fax
(480) 892-3258
NPI assigned
Nov 2, 2005
Last updated
Aug 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20915 AZ Primary

Addresses

Primary practice location

4838 E Baseline Rd
BLDG. 2 Ste. 110
Mesa, AZ 85206-4671

Mailing address

PO Box 63423
Phoenix, AZ 85082-3423
Phone (480) 892-2800

Other identifiers 1

IdentifierTypeStateIssuer
119182MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

State licenses

LicenseStateTypeSpecialty
20915AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Professional Association LTD Past Accepting new patients
Ucxtra Umbrella, LLC Past Accepting new patients
Exigence Arizona LLC Past Accepting new patients
Mesa General Emergency Physicians, LLC Past Accepting new patients
Willard Emergency Physicians Past Accepting new patients
Gilead Heart and Vascular PLLC Past Accepting new patients
Team Physicians of Arizona PC Past Accepting new patients
University Physicians Healthcare Past Accepting new patients
Advanced Cardiac Specialists, Chartered Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEEDDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1538150321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63423",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850823423",
            "telephone_number": "480-892-2800",
            "fax_number": "480-982-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 E BASELINE RD",
            "address_2": "BLDG. 2 STE. 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064671",
            "telephone_number": "480-892-2800",
            "fax_number": "480-892-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISCOE",
        "first_name": "MICHAEL",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "20915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119182",
            "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 Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.