Active NPI
Michael Kushner
- General Practice Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 010654
- Practice address
- 40 E Indianola Ave
Phoenix, AZ 85012-2019 - Phone
- (480) 660-5775
- NPI assigned
- Mar 24, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 010654 | AZ | Primary |
| General Practice Physician | 208D00000X | OS20777 | FL | |
| General Practice Physician | 208D00000X | 6161277 | ID |
Addresses
Primary practice location
40 E Indianola Ave
Phoenix, AZ 85012-2019
Mailing address
3100 Channing Way
Idaho Falls, ID 83404-7533
Other practice location 1
14010 N Northsight Blvd
Scottsdale, AZ 85260-3601
Phone (480) 443-0384
Other practice location 2
22601 N 19th Ave Ste 112
Phoenix, AZ 85027-1324
Phone (602) 293-3277
Other practice location 3
2133 E Warner Rd Ste 103
Tempe, AZ 85284-3492
Phone (480) 636-1417
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS20777 | FL | MD | General Practice Physician |
| 6161277 | ID | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Arizona PA | Current | Accepting new patients | |
| Total Orthopedics, LLC | Family Medicine | Past | Accepting new patients |
| Total Orthopedics, LLC | Past | Accepting new patients | |
| Total Orthopedics,LLC | Past | Accepting new patients |
Locations
1110 E Route 66
Ste 100
Flagstaff, AZ 86001
Phone (928) 527-1920
1818 E Sky Harbor Cir N
Ste 150
Phoenix, AZ 85034
Phone (602) 244-9500
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Interoperability endpoints
- michael.kushner@hca3.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1780873307
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1174239727
-
- Specialist
- Tempe, AZ
- NPI 1356648216
-
- Specialist
- Glendale, AZ
- NPI 1326302472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1740930601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 CHANNING WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 E INDIANOLA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122019",
"telephone_number": "480-660-5775"
}
],
"practiceLocations": [
{
"address_1": "14010 N Northsight Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852603601",
"country_code": "US",
"telephone_number": "480-443-0384",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22601 N 19th Ave Ste 112",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850271324",
"country_code": "US",
"telephone_number": "602-293-3277",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2133 E Warner Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852843492",
"country_code": "US",
"telephone_number": "480-636-1417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUSHNER",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-24",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "010654",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "OS20777",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "ID",
"license": "6161277",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.