Mitchell James Giangobbe, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

23204 Issued in AZ

Practice address

13629 W Camino del Sol
Suite 180
Sun City West, AZ 85375-1405

Phone

(623) 584-7874

Fax

(623) 584-8137

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Peripheral Vascular DiseaseAlso: Vascular Surgery

Education

University of Arizona College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Grandview Surgical Associates PC

  • Surgery Physician
  • Sun City West, AZ
  • NPI 1376507616
  Medicare reassignment NPD Authorized official
• Sun Health MRI Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Sun City West, AZ
  • NPI 1427001379
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1740312974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13629 W CAMINO DEL SOL",
            "address_2": "SUITE 180",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853751405",
            "telephone_number": "623-584-7874",
            "fax_number": "623-584-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13629 W CAMINO DEL SOL",
            "address_2": "SUITE 180",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853751405",
            "telephone_number": "623-584-7874",
            "fax_number": "623-584-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANGOBBE",
        "first_name": "MITCHELL",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "23204",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "23204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genereal Medical Supply
• Genesis Eldercare Rehabilitation Services LLC
• Zaccary George Ekdahl, DPT
• Joyce George, MD
• Kelsi Leigh Giacalone, PHARMD
• Chad Gregory Gleason, PA-C
• Julia Glenn, PA-C
• Sarah Glinos, FNP-BC
• Michelle Louise Goebel, RN
• Thomas W Goebig, RPH, PHARMD

• Surgery Physician in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.

Verify at the official NPI Registry.