Individual provider Active NPI

Michael Givens Jr., M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Gilbert, AZ
National Provider Identifier
1851656771
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
54587 Issued in AZ
Practice address
1450 W Guadalupe Rd Ste 124
Gilbert, AZ 85233-3056
Phone
(480) 307-8258
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R73591 AZ
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 54587 AZ Primary

Addresses

Primary practice location

1450 W Guadalupe Rd Ste 124
Gilbert, AZ 85233-3056

Mailing address

PO Box 13146
Chandler, AZ 85248-0036
Phone (623) 337-0901

Other identifiers 2

IdentifierTypeStateIssuer
54587OtherAZAZ MD LICENSE #54587
278955MedicaidAZ

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
I20170803003471 AZ Practitioner - Physical Medicine and Rehabilitation 1254623663 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R73591AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kpa Medical LLC CurrentSince Aug 1, 2021 Accepting new patients
Integrity Pain and Anesthesia PLLC CurrentSince Aug 1, 2021 Accepting new patients
Ajay Narwani MD PLLC CurrentSince Oct 1, 2019 Accepting new patients
Integrated Pain Consultants, LLC PastSince May 25, 2021 Accepting new patients

Locations

1466 W Elliot Rd
Gilbert, AZ 85233
Phone (480) 496-2699

6677 W Thunderbird Rd
Glendale, AZ 85306
Phone (623) 255-4180

6677 W Thunderbird Rd
Ste G101
Glendale, AZ 85306

7436 E Main St
Ste 1
Mesa, AZ 85207
Phone (405) 921-2503

7436 E Main St
Ste 2
Mesa, AZ 85207
Phone (480) 983-5111

10255 N 32nd St
Phoenix, AZ 85028
Phone (602) 258-7003

8997 E Desert Cove Ave
Fl 1
Scottsdale, AZ 85260
Phone (480) 664-3317

2000 E Southern Ave
Ste 106108
Tempe, AZ 85282

2000 E Southern Ave
Ste 106
Tempe, AZ 85282
Phone (480) 444-7491

2000 E Southern Ave
Ste 108
Tempe, AZ 85282
Phone (480) 496-2699

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1851656771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13146",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480036",
            "telephone_number": "623-337-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W GUADALUPE RD STE 124",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333056",
            "telephone_number": "480-307-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2021-07-20",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R73591",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "54587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MD LICENSE #54587",
            "identifier": "54587",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278955",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.