Individual provider Active NPI

Aaron T Thornburg, DO

  • Critical Care Medicine (Internal Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1669425245
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
20A16041 Issued in CA
Practice address
3330 N 2ND St Ste 300
Phoenix, AZ 85012-2369
Phone
(602) 274-7195
Fax
(602) 274-7097
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 5017 AZ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 100-321 WI
Pulmonary Disease Physician 207RP1001X 02002916A IN
Pulmonary Disease Physician 207RP1001X 5017 AZ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 20A16041 CA Primary

Addresses

Primary practice location

3330 N 2ND St Ste 300
Phoenix, AZ 85012-2369

Mailing address

3330 N 2ND St Ste 300
Phoenix, AZ 85012-2369

Other practice location 1

11104 Parkview Circle Dr Ste 410
Fort Wayne, IN 46845-0025
Phone (260) 266-5260

Other practice location 2

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Other identifiers 1

IdentifierTypeStateIssuer
332020MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080521000199 AZ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 3375502685 Reassigns benefits to 4 organizations
I20200106001352 CA Practitioner - Critical Care (Intensivists) 3375502685 Reassigns benefits to 3 organizations
I20200721003525 WI Practitioner - Critical Care (Intensivists) 3375502685 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800

Hospital & facility affiliations

  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516
  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414
  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16041CAMDMarriage & Family Therapist
20A16041CAMDCritical Care Medicine (Internal Medicine) Physician
100-321WIMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Nov 11, 2019 Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
Arizona Pulmonary Specialists LTD Critical Care Medicine CurrentSince Jul 1, 2008 Accepting new patients
Dignity Health Medical Foundation CurrentSince Mar 27, 2020 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jul 20, 2020 Accepting new patients
Midwest Critical Care SC Critical Care Medicine CurrentSince Jan 1, 2024 Accepting new patients
LQMG Medical Group Inc. Internal Medicine Current Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jul 20, 2020 Accepting new patients
Dignity Health Medical Foundation CurrentSince Mar 27, 2020 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Saint Agnes Medical Foundation Family Medicine CurrentSince Oct 15, 2019 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Family Medicine CurrentSince Aug 15, 2021 Accepting new patients
Fairfield Medical Center Past Accepting new patients
Respiratory & Critical Care Consultants P C Internal Medicine Past Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

3330 N 2nd St
Ste 300
Phoenix, AZ 85012
Phone (602) 261-7830

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

9060 E Via Linda
Scottsdale, AZ 85258
Phone (480) 551-8627

9060 E Via Linda
Ste 250
Scottsdale, AZ 85258
Phone (480) 614-2000

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

3000 Q St
Fl 2
Sacramento, CA 95816
Phone (916) 733-3323

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

19475 W North Ave
Brookfield, WI 53045
Phone (262) 780-4000

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

3811 Spring St
Ste 102
Mount Pleasant, WI 53405
Phone (262) 687-5800

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f17aed19-e2f6-49d4-bba0-64508a2357d2/
  • Direct secure messaging: aaron.thornburg@hca3.eclinicaldirectplus.com
  • Direct secure messaging: athornburg468285@direct.gundersenhealth.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1669425245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 N 2ND ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N 2ND ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122369",
            "telephone_number": "602-274-7195",
            "fax_number": "602-274-7097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11104 Parkview Circle Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468450025",
            "country_code": "US",
            "telephone_number": "260-266-5260",
            "fax_number": "260-266-5279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNBURG",
        "first_name": "AARON",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "5017",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "100-321",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "02002916A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "5017",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "20A16041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332020",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.