Individual provider Active NPI

Michelle Mix, MD

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1831385533
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
43231 Issued in AZ
Practice address
3811 E Bell Rd Ste 300
Phoenix, AZ 85032-2160
Phone
(602) 952-0002
Fax
(602) 224-9119
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 43231 AZ
Cardiovascular Disease Physician 207RC0000X 43231 AZ Primary

Addresses

Primary practice location

3811 E Bell Rd Ste 300
Phoenix, AZ 85032-2160

Mailing address

3811 E Bell Rd Ste 300
Phoenix, AZ 85032-2160
Phone (602) 952-0002

Other identifiers 1

IdentifierTypeStateIssuer
829246MedicaidAZ

Other names 1

  • Michelle Mix Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080909000439 CA Practitioner - Internal Medicine 9335215722 Reassigns benefits to 1 organization
I20130417000684 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335215722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

1890 E Florence Blvd
Suite 1
Casa Grande, AZ 85122-5642
Phone (520) 381-8850

Hospital & facility affiliations

  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
  • Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083
  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Feb 20, 2017 Accepting new patients
District Medical Group, Inc CurrentSince Aug 15, 2015 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 25, 2009 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 25, 2009 Accepting new patients
District Medical Group, Inc CurrentSince Aug 15, 2015 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Feb 8, 2019 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Feb 8, 2019 Accepting new patients
Cardiovascular Consultants LTD Past Accepting new patients

Locations

3624 W Anthem Way
Ste C100
Anthem, AZ 85086
Phone (623) 312-3000

1890 E Florence Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 381-8850

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

708 S Coeur D Alene Ln
Ste 100
Payson, AZ 85541
Phone (928) 472-7440

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

6036 N 19th Ave
Ste 505
Phoenix, AZ 85015
Phone (602) 249-0839

2777 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 952-0002

4444 N 32nd St
Ste 175
Phoenix, AZ 85018
Phone (602) 952-0002

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

1910 E Thomas Rd
Ste 200
Phoenix, AZ 85016

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

444 W Osborn Rd
Ste 200
Phoenix, AZ 85013
Phone (602) 230-1400

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

3811 E Bell Rd
Ste 300
Phoenix, AZ 85032
Phone (480) 454-7350

1910 E Thomas Rd
Ste 101
Phoenix, AZ 85016
Phone (480) 470-0003

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: michelleharris@cvc.allscriptsdirect.net

Organizations & group practices 10

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 7

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": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1831385533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322160",
            "telephone_number": "602-952-0002",
            "fax_number": "602-224-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322160",
            "telephone_number": "602-952-0002",
            "fax_number": "602-224-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIX",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "43231",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "43231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "829246",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MIX",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.