Active NPI
John Mikel Hubanks, M.D.
- Urology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 47163
- Practice address
- 2902 W Agua Fria Fwy Ste 1000
Phoenix, AZ 85027-3969 - Phone
- (623) 582-6420
- NPI assigned
- Jul 19, 2008
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 51942 | MN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Urology Physician | 208800000X | 47163 | AZ | Primary |
Addresses
Primary practice location
2902 W Agua Fria Fwy Ste 1000
Phoenix, AZ 85027-3969
Mailing address
10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 780254 | Medicaid | AZ | |
| ENROLLED | Medicaid | IA | |
| ENROLLED | Medicaid | MN | |
| P00970223 | Other | MN | RAILROAD 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 Compare- Specialty
- Urology
- Education
- University of Oklahoma College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2530 E Southern Ave
Mesa, AZ 85204-5411
Phone (602) 222-1900
2902 W Agua Fria Fwy
Suite 1000
Phoenix, AZ 85027-3969
Phone (623) 582-6420
Hospital & facility affiliations
- Abrazo Arrowhead Hospital
- Honorhealth Deer Valley Medical Center
- St Josephs Hospital and Medical Center
- Verde Valley Medical Center
- Honorhealth Sonoran Crossing Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47163 | AZ | MD | Urology Physician |
| 51942 | MN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Urology Specialists, PLLC | Urology | Current | Accepting new patients |
Locations
6320 W Union Hills Dr
Ste 2600B
Glendale, AZ 85308
Phone (602) 942-5600
5750 W Thunderbird Rd
Ste B200
Glendale, AZ 85306
Phone (602) 375-1700
18700 N 64th Dr
Ste 105
Glendale, AZ 85308
Phone (602) 698-7325
2530 E Southern Ave
Mesa, AZ 85204
Phone (480) 834-4188
7747 W Deer Valley Rd
Ste 235
Peoria, AZ 85382
Phone (602) 375-1700
2902 W Agua Fria Fwy
Ste 1000
Phoenix, AZ 85027
Phone (623) 582-6420
2902 W Agua Fria Fwy
Phoenix, AZ 85027
10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117
25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681
Organizations & group practices 1
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.
-
- Urology Physician
- Phoenix, AZ
- NPI 1740426485
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1265063010
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1831354810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 GRAND CENTRAL AVE STE 220",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 W AGUA FRIA FWY STE 1000",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273969",
"telephone_number": "623-582-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBANKS",
"first_name": "JOHN",
"middle_name": "MIKEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-19",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MN",
"license": "51942",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "47163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "780254",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00970223",
"state": "MN"
}
],
"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 Mar 21, 2025; 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.