Individual provider Active NPI

Morton H Dubnow, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1659319309
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04810 Issued in AZ
Practice address
6838 N 23Rd Ave
Phoenix, AZ 85015-1056
Phone
(602) 864-8800
Fax
(602) 864-1448
NPI assigned
Jun 3, 2006
Last updated
Jun 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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 04810 AZ Primary

Addresses

Primary practice location

6838 N 23Rd Ave
Phoenix, AZ 85015-1056

Mailing address

6838 N 23Rd Ave
Phoenix, AZ 85015-1056
Phone (602) 864-8800

Other identifiers 1

IdentifierTypeStateIssuer
229163MedicaidAZ

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
I20080530000344 AZ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1658312889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1961
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatric Specialties of Arizona PCGroup PAC ID 9931189628, 6 clinicians

Practice addresses (Care Compare)

3666 N Miller Rd
Suite 113
Scottsdale, AZ 85251-4534
Phone (480) 219-9934

6838 N 23Rd Ave
Phoenix, AZ 85015-1056
Phone (602) 864-8800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04810AZMDInternal Medicine Physician
4810AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists Past Accepting new patients

Organizations & group practices 2

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.

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1659319309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 N 23RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151056",
            "telephone_number": "602-864-8800",
            "fax_number": "602-864-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6838 N 23RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151056",
            "telephone_number": "602-864-8800",
            "fax_number": "602-864-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBNOW",
        "first_name": "MORTON",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "04810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229163",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.