Individual provider Active NPI

Patrick Viviano, M.D.

  • Hospitalist Physician
  • Chandler, AZ
National Provider Identifier
1689106536
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
60153 Issued in AZ
Practice address
1405 S Alma School Rd House Staff Administration
Chandler, AZ 85286-5425
Phone
(480) 256-7000
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 60153 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 60153 AZ Primary

Addresses

Primary practice location

1405 S Alma School Rd House Staff Administration
Chandler, AZ 85286-5425

Mailing address

3104 Stockton Hill Road
Department of Internal Medicine
Kingman, AZ 86401

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
I20200909001157 AZ Practitioner - Internal Medicine 7113264409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Hospital Based Physicians Arizona LLCGroup PAC ID 3274782487, 636 clinicians

Practice addresses (Care Compare)

1405 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 256-7000

Hospital & facility affiliations

  • Banner Ocotillo Medical Center Hospital, Chandler, AZ, CCN 030147
  • Huhu Kam Memorial Hospital Hospital, Sacaton, AZ, CCN 031308

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
64.97
Promoting interoperability
98
Improvement activities
40
Cost
69.88

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Single Specialty CurrentSince May 1, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Single Specialty CurrentSince May 1, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Single Specialty Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Sep 1, 2020 Accepting new patients
Kingman Healthcare, Inc Single Specialty Current Accepting new patients

Locations

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

3104 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 681-8720

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

Organizations & group practices 6

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 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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1689106536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 STOCKTON HILL ROAD",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S ALMA SCHOOL RD HOUSE STAFF ADMINISTRATION",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852865425",
            "telephone_number": "480-256-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIANO",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "60153",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "60153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.