NPIMap

Individual provider Active NPI

Duane R. Crist, M.D.

  • Emergency Medicine Physician
  • San Tan Valley, AZ
National Provider Identifier
1740217264
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
22536 Issued in AZ
Practice address
37000 N Gantzel Rd
San Tan Valley, AZ 85140-7303
Phone
(480) 394-4000
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9232865 UT
Emergency Medicine Physician 207P00000X 22536 AZ Primary

Addresses

Primary practice location

37000 N Gantzel Rd
San Tan Valley, AZ 85140-7303

Mailing address

275 S Red Rock St
Gilbert, AZ 85296-1955

Other practice location 1

170 N 1100 E
American Fork, UT 84003-2961
Phone (801) 855-3300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address duane.crist@bannerhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070515000073 AZ Practitioner - Emergency Medicine 1658478375 Reassigns benefits to 2 organizations
I20150623002833 UT Practitioner - Emergency Medicine 1658478375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Utah School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Valley Emergency Physicians LCGroup PAC ID 4789630401, 16 clinicians
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

170 N 1100
American Fork, UT 84003-2096
Phone (801) 714-6570

4760 E Germann Rd
Gilbert, AZ 85297-0205
Phone (888) 732-3317

Hospital & facility affiliations

  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139
  • American Fork Hospital Hospital, American Fork, UT, CCN 460023

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22536AZMDEmergency Medicine Physician
9232865UTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Emergency Physicians LC CurrentSince Apr 1, 2015 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Mar 1, 2007 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Sep 18, 2020 Accepting new patients
Emergency Professional Services PC Emergency Medicine Past Accepting new patients
Team Physicians of Arizona PC Emergency Medicine Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

4760 E Germann Rd
Gilbert, AZ 85297
Phone (480) 494-5000

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1910 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 410-6150

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570

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.

Hospital & facility affiliations 11

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1740217264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S RED ROCK ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37000 N GANTZEL RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407303",
            "telephone_number": "480-394-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 N 1100 E",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032961",
            "country_code": "US",
            "telephone_number": "801-855-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIST",
        "first_name": "DUANE",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "9232865",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "22536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "duane.crist@bannerhealth.com",
            "affiliation": "N",
            "endpointDescription": "Hospital email",
            "address_1": "170 N 1100 E",
            "city": "American Fork",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840032961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.