Active NPI
Joshua Michael Wallentin-Flores, MD
- Orthopaedic Surgery Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 73668
- Practice address
- 107 E Oak Ave
Flagstaff, AZ 86001-1818 - Phone
- (928) 779-7880
- NPI assigned
- Apr 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | 31485 | MS | |
| Orthopaedic Trauma Physician | 207XX0801X | 68056 | TN | |
| Orthopaedic Surgery Physician | 207X00000X | 73668 | AZ | Primary |
Addresses
Primary practice location
107 E Oak Ave
Flagstaff, AZ 86001-1818
Mailing address
504 W Fir Ave
Flagstaff, AZ 86001-1309
Phone (928) 853-9293
Other practice location 1
720 Eskenazi Ave Bldg 2nd
Indianapolis, IN 46202-5187
Phone (317) 278-5835
Other practice location 2
1211 Union Ave
Memphis, TN 38104-6638
Phone (901) 759-3274
Other names 1
- Joshua Michael Wallentin-Flores
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Indiana University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366
1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249
2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400
269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000
7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375
Hospital & facility affiliations
- Flagstaff Medical Center
- Verde Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.4
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.09 of 100
- Quality
- 50.47
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.33
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31485 | MS | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Orthopaedic Surgery | Current | Accepting new patients |
| Flagstaff Medical Center | Past | Accepting new patients | |
| CC Bpci PLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
107 E Oak Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 774-1811
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
107 E Oak Ave
Flagstaff, AZ 86001
Phone (928) 779-7880
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1003835141
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1881387330
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1669960365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 W FIR AVE",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011309",
"telephone_number": "928-853-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E OAK AVE",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011818",
"telephone_number": "928-779-7880"
}
],
"practiceLocations": [
{
"address_1": "720 Eskenazi Ave Bldg 2nd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025187",
"country_code": "US",
"telephone_number": "317-278-5835",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1211 Union Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381046638",
"country_code": "US",
"telephone_number": "901-759-3274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALLENTIN-FLORES",
"first_name": "JOSHUA",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-27",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "MS",
"license": "31485",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "TN",
"license": "68056",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "73668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSHUA",
"last_name": "WALLENTIN-FLORES",
"middle_name": "MICHAEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.