Individual provider Active NPI

Ian Leroy Musil, M.D.

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1669794053
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
44127 Issued in AZ
Practice address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone
(602) 406-3430
Fax
(602) 406-2340
NPI assigned
Feb 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 44127 AZ Primary

Addresses

Primary practice location

350 W Thomas Rd
Phoenix, AZ 85013-4409

Mailing address

2001 Crossroads Blvd
Clarkdale, AZ 86324-3405
Phone (502) 808-1846

Other practice location 1

7330 N 99th Ave Ste 200
Glendale, AZ 85307-3018
Phone (602) 406-0033

Other practice location 2

4975 N Dysart Rd Unit 100
Litchfield Park, AZ 85340-3082
Phone (602) 406-8852

Other practice location 3

625 N 6th St
Phoenix, AZ 85004-2155
Phone (602) 406-8222

Other practice location 4

77 W Forest Ave Ste 101
Flagstaff, AZ 86001-1482
Phone (928) 773-2515

Other practice location 5

2929 E 6th St Apt 215
Tucson, AZ 85716-4831
Phone (520) 808-1846

Other practice location 6

17040 N 51st Ave Ste 100
Glendale, AZ 85308-1496
Phone (602) 406-1164

Other identifiers 1

IdentifierTypeStateIssuer
024302MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imusil691567@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150723007384 AZ Practitioner - Diagnostic RadiologyPractitioner - Interventional Pain Management 0941513659 Reassigns benefits to 1 organization
I20241108003307 UT Practitioner - Diagnostic Radiology 0941513659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Pain Management
Education
University of Arizona College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Arizona Radiology P CGroup PAC ID 4880683085, 20 clinicians

Practice addresses (Care Compare)

77 W Forest Ave
Suite 101
Flagstaff, AZ 86001-1482
Phone (928) 773-2515

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
St Josephs Pathology Current Accepting new patients
University of Utah Adult Services Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Alliance Healthcare Services Inc. CurrentSince Oct 23, 2015 Accepting new patients
Northern Arizona Radiology P C Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince Aug 1, 2023 Accepting new patients
University of Utah Adult Services CurrentSince Sep 1, 2024 Accepting new patients

Locations

1298 W Finnie Flat Rd
Camp Verde, AZ 86322
Phone (928) 639-5509

450 S Willard St
Ste 111
Cottonwood, AZ 86326
Phone (928) 639-6587

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

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1485 N Turquoise Dr
Flagstaff, AZ 86001
Phone (928) 774-6626

77 W Forest Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 773-2215

77 W Forest Ave
Ste 102
Flagstaff, AZ 86001

17040 N 51st Ave
Ste 100
Glendale, AZ 85308
Phone (602) 406-1164

7330 N 99th Ave
Ste 200
Glendale, AZ 85307
Phone (602) 406-0033

4975 N Dysart Rd
Unit 100
Litchfield Pk, AZ 85340
Phone (602) 406-8700

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

625 N 6th St
Phoenix, AZ 85004
Phone (602) 406-8222

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

3700 W State Route 89A
Sedona, AZ 86336
Phone (928) 204-3000

301 S 7th St
Williams, AZ 86046
Phone (928) 380-2611

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

File 56765
Los Angeles, CA 90074

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: imusil691567@direct.med.utah.edu

Organizations & group practices 8

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 8

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": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1669794053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CROSSROADS BLVD",
            "city": "CLARKDALE",
            "state": "AZ",
            "postal_code": "863243405",
            "telephone_number": "502-808-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-3430",
            "fax_number": "602-406-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7330 N 99th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853073018",
            "country_code": "US",
            "telephone_number": "602-406-0033",
            "fax_number": "602-406-0035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4975 N Dysart Rd Unit 100",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853403082",
            "country_code": "US",
            "telephone_number": "602-406-8852",
            "fax_number": "623-935-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850042155",
            "country_code": "US",
            "telephone_number": "602-406-8222",
            "fax_number": "602-406-7811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 W Forest Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860011482",
            "country_code": "US",
            "telephone_number": "928-773-2515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2929 E 6th St Apt 215",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857164831",
            "country_code": "US",
            "telephone_number": "520-808-1846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17040 N 51st Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081496",
            "country_code": "US",
            "telephone_number": "602-406-1164",
            "fax_number": "623-935-9495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSIL",
        "first_name": "IAN",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-25",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "44127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024302",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imusil691567@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.