Individual provider Active NPI

Michael Thorpe Larsen, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Phoenix, AZ
National Provider Identifier
1891040440
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
58871 Issued in AZ
Practice address
370 E Virginia Ave Ste 100
Phoenix, AZ 85004-1254
Phone
(614) 293-8652
NPI assigned
Jul 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X AO5603724206896 OH
Surgery of the Hand (Surgery) Physician 2086S0105X 58871 AZ Primary

Addresses

Primary practice location

370 E Virginia Ave Ste 100
Phoenix, AZ 85004-1254

Mailing address

370 E Virginia Ave Ste 100
Phoenix, AZ 85004-1254
Phone (602) 258-4788

Other identifiers 1

IdentifierTypeStateIssuer
553192MedicaidAZ

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
I20190909000707 AZ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 9638313521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Ohio State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

370 E Virginia Ave
Suite 100
Phoenix, AZ 85004-1254
Phone (602) 258-4788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision16
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AO5603724206896OHMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Hand Surgery PC Surgery of the Hand CurrentSince Oct 1, 2019 Accepting new patients
Arizona Center for Hand Surgery PC Surgery of the Hand CurrentSince Oct 1, 2019 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 1, 2019 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 1, 2019 Accepting new patients
Arizona Center for Hand Surgery PC Surgery of the Hand Past Accepting new patients

Locations

2111 W University Dr
Mesa, AZ 85201
Phone (480) 206-6240

1520 S Dobson Rd
Ste 210
Mesa, AZ 85202
Phone (480) 898-8593

15830 N 35th Ave
Ste 1
Phoenix, AZ 85053
Phone (602) 298-1188

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

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

370 E Virginia Ave
Phoenix, AZ 85004
Phone (480) 206-6240

3329 E Bell Rd
Ste A5
Phoenix, AZ 85032

370 E Virginia Ave
Ste 100
Phoenix, AZ 85004
Phone (602) 200-8988

9220 E Mountain View Rd
Ste 200
Scottsdale, AZ 85258
Phone (480) 451-6756

9220 E Mountain View Rd
Ste 102
Scottsdale, AZ 85258
Phone (480) 661-8348

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1891040440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E VIRGINIA AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041254",
            "telephone_number": "602-258-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E VIRGINIA AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041254",
            "telephone_number": "614-293-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "MICHAEL",
        "middle_name": "THORPE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "AO5603724206896",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "AZ",
            "license": "58871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "553192",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.