Individual provider Active NPI

Michael Kushner

  • General Practice Physician
  • Phoenix, AZ
National Provider Identifier
1740930601
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
010654 Issued in AZ
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

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710001819 AZ Practitioner - Family Practice 9739560699 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS20777FLMDGeneral Practice Physician
6161277IDMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Arizona PA CurrentSince Jun 26, 2025 Accepting new patients
Total Orthopedics, LLC Family Medicine PastSince Feb 23, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.