Active NPI
Michael Thorpe Larsen, M.D.
- Surgery of the Hand (Surgery) Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- 58871
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 553192 | Medicaid | AZ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive 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
- Honorhealth Scottsdale Shea Medical Center
- Chandler Regional Medical Center
- Banner Desert Medical Center
- Honorhealth Scottsdale Thompson Peak Med Ctr
- Honorhealth Scottsdale Osborn Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 78.73
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 62.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 16 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AO5603724206896 | OH | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Center for Hand Surgery PC | Surgery of the Hand | Current | Accepting new patients |
| Arizona Center for Hand Surgery PC | Surgery of the Hand | Current | Accepting new patients |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current | 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.
-
dba Arizona Center for Hand to Shoulder Surgery
- Surgery of the Hand (Surgery) Physician
- Phoenix, AZ
- NPI 1972502227
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1750751566
-
dba Arizona Center for Hand to Shoulder Surgery
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1467284828
Surgery of the Hand
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1538879481
-
dba Arizona Center for Hand to Shoulder Surgery
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1609588235
Surgery of the Hand
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
dba Chandler Regional Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
dba HonorHealth Scottsdale Thompson Peak Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
dba HonorHealth Scottsdale Osborn Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.
- 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.