Active NPI
Michael David Guttenplan, MD
- Otolaryngology Physician
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 48133
- Practice address
- 1492 S Mill Ave
Suite 301
Tempe, AZ 85281 - Phone
- (480) 894-5550
- Fax
- (780) 894-9469
- NPI assigned
- Dec 27, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | H7751 | TX | |
| Otolaryngology Physician | 207Y00000X | 48133 | AZ | Primary |
Addresses
Primary practice location
1492 S Mill Ave
Suite 301
Tempe, AZ 85281
Mailing address
1492 S Mill Ave
Suite 301
Tempe, AZ 85281
Phone (480) 894-5550
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8H0731 | Other | TX | BCBS |
| 114231102 | Other | TX | FIRSTCARE/SWLIFEHEALTH |
| 8774426 | Medicaid | AZ | |
| 040017696 | Other | TX | RR MEDICARE |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.59 of 100
- Quality
- 81.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48133 | AZ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Panhandle Ear Nose & Throat Associates LLP | Otolaryngology | Past | Accepting new patients |
| District Medical Group, Inc | Past | Accepting new patients |
Locations
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Psychiatry Physician
- Mesa, AZ
- NPI 1124251020
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1295968162
-
- Otolaryngology Physician
- Amarillo, TX
- NPI 1275510737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1821075391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1492 S MILL AVE",
"address_2": "SUITE 301",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85281",
"telephone_number": "480-894-5550",
"fax_number": "480-894-9469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1492 S MILL AVE",
"address_2": "SUITE 301",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85281",
"telephone_number": "480-894-5550",
"fax_number": "780-894-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTENPLAN",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "H7751",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "48133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8H0731",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE/SWLIFEHEALTH",
"identifier": "114231102",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8774426",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "040017696",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.