Individual provider Active NPI

John Mikel Hubanks, M.D.

  • Urology Physician
  • Phoenix, AZ
National Provider Identifier
1831354810
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
47163 Issued in AZ
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

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
780254MedicaidAZ
ENROLLEDMedicaidIA
ENROLLEDMedicaidMN
P00970223OtherMNRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130726000763 AZ Practitioner - Urology 1355488743 Reassigns benefits to 1 organization

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
Arizona Urology Specialists PLLCGroup PAC ID 5092863852, 84 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47163AZMDUrology Physician
51942MNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Urology Specialists, PLLC Urology CurrentSince Jun 7, 2013 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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.