Individual provider Active NPI

Amanda Rose Mihalik, M.D.

  • Pediatric Hospice and Palliative Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1639499767
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X
License
48380 Issued in AZ
Practice address
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone
(602) 933-0249
Fax
(602) 933-0755
NPI assigned
Jun 11, 2010
Last updated
Mar 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48380 AZ
Pediatrics Physician 208000000X 48380 AZ
Pediatric Hospice and Palliative Medicine Physician 2080H0002X 48380 AZ Primary

Addresses

Primary practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Mailing address

3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1814

Other practice location 1

18404 N Tatum Blvd
Suite 101
Phoenix, AZ 85032-1510
Phone (602) 992-1900

Other practice location 2

18404 N Tatum Blvd
Suite 101
Phoenix, AZ 85032-1510
Phone (602) 992-1900

Other practice location 3

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0249

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
I20140910001879 AZ Practitioner - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - Pediatric Medicine 1557580321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine, Pediatric Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Children's HospitalGroup PAC ID 0446278584, 431 clinicians

Practice addresses (Care Compare)

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0930

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Family Medicine Current Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Aug 25, 2014 Accepting new patients
Phoenix Children's Medical Group CurrentSince Nov 1, 2016 Accepting new patients
Squaw Peak Family Physicians PC Family Medicine Current Accepting new patients
Phoenix Children's Hospital Pediatrics Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Aug 25, 2014 Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

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

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

18404 N Tatum Blvd
Ste 102
Phoenix, AZ 85032
Phone (602) 485-7421

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

10250 N 92nd St
Ste 212
Scottsdale, AZ 85258
Phone (480) 551-5154

Organizations & group practices 7

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": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1639499767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182327",
            "telephone_number": "602-933-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-0249",
            "fax_number": "602-933-0755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18404 N Tatum Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850321510",
            "country_code": "US",
            "telephone_number": "602-992-1900",
            "fax_number": "602-485-7440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18404 N Tatum Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850321510",
            "country_code": "US",
            "telephone_number": "602-992-1900",
            "fax_number": "602-485-7440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 E Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167710",
            "country_code": "US",
            "telephone_number": "602-933-0249",
            "fax_number": "602-933-0755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIHALIK",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "48380",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "48380",
            "primary": false
        },
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "48380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.