Individual provider Active NPI

Robert John Mintz, D.O.

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1689802209
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101018146 Issued in MI
Practice address
9225 N 3Rd St Ste 307
Phoenix, AZ 85020-2466
Phone
(602) 870-6316
NPI assigned
Jun 23, 2009
Last updated
Mar 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101018146 MI Primary

Addresses

Primary practice location

9225 N 3Rd St Ste 307
Phoenix, AZ 85020-2466

Mailing address

15019 N 15TH Dr
Phoenix, AZ 85023-5184
Phone (480) 692-9232

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
I20130814000308 AZ Practitioner - Emergency Medicine 8426214909 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loop 101 Emergency Physicians LLC Emergency Medicine CurrentSince Jul 15, 2013 Accepting new patients
Honorhealth CurrentSince May 16, 2022 Accepting new patients
303 Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 9, 2013 Accepting new patients
Progressive Medical Associates PLLC Emergency Medicine CurrentSince Apr 5, 2014 Accepting new patients
Honorhealth Emergency Medicine CurrentSince May 16, 2022 Accepting new patients
Emcare - PNX Emergency Physicians LLC Emergency Medicine CurrentSince Jul 15, 2013 Accepting new patients
Arizona Em-I Medical Services Past Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1689802209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15019 N 15TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850235184",
            "telephone_number": "480-692-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST STE 307",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202466",
            "telephone_number": "602-870-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101018146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.