Active NPI
Michael E McDermott, DO
- Family Medicine Physician
- Sierra Vista, AZ
National Provider Identifier
1831765585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 011061
- Practice address
- 5700 E Highway 90
Sierra Vista, AZ 85635-9110 - Phone
- (520) 263-2000
- NPI assigned
- Jun 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 011061 | AZ | Primary |
| Emergency Medicine Physician | 207P00000X | 011061 | AZ |
Addresses
Primary practice location
5700 E Highway 90
Sierra Vista, AZ 85635-9110
Mailing address
3371 Village Dr
Sierra Vista, AZ 85635-4256
Phone (480) 242-0368
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241105002924 | AZ | Practitioner - Emergency Medicine | 7214461847 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sound Physicians Emergency Medicine of Arizona Inc
Practice addresses (Care Compare)
5700 E Hwy 90
Sierra Vista, AZ 85635-9110
Phone (520) 417-4594
Hospital & facility affiliations
- Canyon Vista Medical Center
- Copper Queen Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011061 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bisbee Hospital Association | Current | Accepting new patients | |
| Bisbee Hospital Association | Single Specialty | Current | Accepting new patients |
| Bisbee Hospital Association | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Arizona, Inc. | Single Specialty | Current | Accepting new patients |
Locations
101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383
100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
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.
-
- Emergency Medicine Physician
- Sierra Vista, AZ
- NPI 1700328663
AZ, Single Specialty
-
- Rural Health Clinic/Center
- Hereford, AZ
- NPI 1245986975
-
- Clinic/Center
- Bisbee, AZ
- NPI 1568471696
Hospital & facility affiliations 4
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": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1831765585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3371 VILLAGE DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856354256",
"telephone_number": "480-242-0368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 E HIGHWAY 90",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856359110",
"telephone_number": "520-263-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-02",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "011061",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "011061",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.