Micaela Becerra Felix, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4770 Issued in AZ

Practice address

23374 W. Yuma Rd
Suite 101
Buckeye, AZ 85326

Phone

(623) 374-7833

Fax

(623) 594-0114

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Micaela Becerra Powell Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: buckeyepediatrics.micaelalooney@121552.advancedmd-direct.com

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.

• Buckeye Pediatrics, LLC

  • Pediatrics Physician
  • Buckeye, AZ
  • NPI 1932498763

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1861553380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23374 W. YUMA RD",
            "address_2": "SUITE 101",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "85326",
            "telephone_number": "623-374-7833",
            "fax_number": "623-594-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23374 W. YUMA RD",
            "address_2": "SUITE 101",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "85326",
            "telephone_number": "623-374-7833",
            "fax_number": "623-594-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRA FELIX",
        "first_name": "MICAELA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A10034",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "4770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310451",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200068460A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICAELA",
            "last_name": "POWELL",
            "middle_name": "BECERRA",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jennifer Lynn Ruth Beaupre, NURSE PRACTITIONER
• Beautiful Mind Arizona LLC
• Jamal Edwin Bechri, LAT, ATC
• Tami Beckman
• Cailey Bennie
• Rachel Lee Bentley, M.A.
• Norman Victor Bertel, PSY.D.

• Pediatrics Physician in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.