Mikhail A Bargan, MD
Individual provider Active NPI Family Medicine Physician · Surprise, AZ
NPI 1790766533 · NPPES record last updated Jul 5, 2019
Key facts
- NPI
- 1790766533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 32864 (AZ)
- Practice address
- 15468 N Civic Center Dr
Surprise, AZ 85374 - Phone
- (623) 584-2917
- Fax
- (623) 584-2945
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 32
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shasta Regional Medical Group Inc
Practice addresses (Care Compare)
1355 E St
Suite 200
Redding, CA 96001-0801
Phone (530) 605-4260
Hospital & facility affiliations
- Shasta Regional Medical Center
- Mercy Medical Center Redding
- St Elizabeth Community Hospital
- Mayers Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.8 of 100
- Quality
- 80.29
- Improvement activities
- 40
- Cost
- 75.48
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TX, CA, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040121000574 | TX | Practitioner - Family Practice |
9436051414 | Reassigns benefits to 2 organizations |
| I20091211000618 | CA | Practitioner - Family Practice |
9436051414 | Reassigns benefits to 1 organization |
| I20141013001918 | AZ | Practitioner - Family Practice |
9436051414 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53669 | CA | MD | Marriage & Family Therapist |
| 32864 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benson Hospital Corporation | Current |
Accepting new patients | |
| Orna Gil MD Inc | Current | Accepting new patients | |
| Benson Hospital Corporation | Current |
Accepting new patients | |
| Nes Arizona Inc | Emergency Medicine | Current |
Accepting new patients |
| Nes Arizona Inc | Emergency Medicine | Current |
Accepting new patients |
| Cigna Health Care of Arizona Inc. | Current |
Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current |
Accepting new patients | |
| Nextcare Arizona LLC | Current |
Accepting new patients | |
| Cigna Health Care of Arizona Inc | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current |
Accepting new patients |
| Shasta Regional Medical Group Inc | Emergency Medicine | Current |
Accepting new patients |
| Concord Medical Group PLLC | Emergency Medicine | Current |
Accepting new patients |
| Shasta Regional Medical Group, Inc | Family Medicine | Current |
Accepting new patients |
| Hualapai Emergency Physician Partners PLLC | Emergency Medicine | Past | Accepting new patients |
| Health and Human Services Commission | Family Medicine | Past | Accepting new patients |
| Odessa Physician Associates, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc | Emergency Medicine | Past | Accepting new patients |
| Little Colorado Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Az Corridor Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Cogent Healthcare of Arizona PC | Past | Accepting new patients | |
| Southwest Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
| Health and Human Services Commission | Past | Accepting new patients | |
| Ringtail Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Quentin N Burdick Comprehensive Health Care Facility | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past |
Accepting new patients | |
| Emcare Physician Providers, Inc | Emergency Medicine | Past | Accepting new patients |
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
| Hospitalist Medicine Physicians of Imperial County, Inc.. | Past | Accepting new patients | |
| Sunset Emergency Physicians LLC | Emergency Medicine | Past |
Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Abk Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Chandler Medical Center Inc | Past | Accepting new patients |
Locations
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261
1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565
450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600
1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500
1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000
8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260
914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620
9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666
1801 W Olympic Blvd
#1640
Pasadena, CA 91199
1100 Butte St
Redding, CA 96001
Phone (530) 227-6361
1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940
2500 E Main St
Alice, TX 78332
Phone (361) 664-4376
720 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2200
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661
7300 State Highway 121
Ste 374
McKinney, TX 75070
520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929
Interoperability endpoints
- mikhail.bargan.p3@direct.smmg.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/ABEFCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L9035 | TX | |
| Family Medicine Physician | 207Q00000X | 32864 | AZ | Yes |
Addresses
Primary practice location
15468 N Civic Center Dr
Surprise, AZ 85374
Mailing address
PO Box 53568
Phoenix, AZ 85072-3568
Phone (623) 544-5063
Other providers in Surprise, AZ
- Banner Urgent Care Services, LLC
- Sarah Stephanie Barba Gastelum
- Jaenessa Barba
- Judith Ann Barber
- Kaylee Bardin
- Kristen Barker
- Matthew Barker
- Elleiah Barkley
- James Orson Barlow
- Jeff Barlow
All providers in Surprise, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.