Active NPI
Allen Max Germaine Jr., MD
- Family Medicine Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15647
- Practice address
- 2345 E Southern Ave
#101
Mesa, AZ 85204-5417 - Phone
- (480) 893-2345
- Fax
- (480) 926-0495
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15647 | AZ | Primary |
Addresses
Primary practice location
2345 E Southern Ave
#101
Mesa, AZ 85204-5417
Mailing address
2345 E Southern Ave
#101
Mesa, AZ 85204-5417
Phone (480) 893-2345
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274796 | Medicaid | AZ | |
| Z108141 | Other | AZ | PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2345 E Southern Ave
Suite 101
Mesa, AZ 85204-5419
Phone (480) 893-2345
Hospital & facility affiliations
- Banner Home Care-Arizona
- Banner Gateway Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15647 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Primary Care Physicians, LLC | Family Medicine | Current | Accepting new patients |
Locations
5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960
2345 E Southern Ave
Ste 101
Mesa, AZ 85204
Phone (480) 893-2345
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1649225178
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1033523949
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
-
- Home Health Agency
- Sun City, AZ
- NPI 1023051927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416268800000",
"number": "1689658908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 E SOUTHERN AVE",
"address_2": "#101",
"city": "MESA",
"state": "AZ",
"postal_code": "852045417",
"telephone_number": "480-893-2345",
"fax_number": "480-926-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 E SOUTHERN AVE",
"address_2": "#101",
"city": "MESA",
"state": "AZ",
"postal_code": "852045417",
"telephone_number": "480-893-2345",
"fax_number": "480-926-0495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERMAINE",
"first_name": "ALLEN",
"middle_name": "MAX",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2014-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "15647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274796",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "Z108141",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.