Individual provider Active NPI

Walter Honorio Migotto, M.D.

  • Pulmonary Disease Physician
  • Peoria, AZ
National Provider Identifier
1922013689
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35416 Issued in AZ
Practice address
9171 W Thunderbird Rd
Suite 101
Peoria, AZ 85381
Phone
(623) 815-7800
Fax
(623) 815-7900
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35416 AZ
Pulmonary Disease Physician 207RP1001X 35416 AZ Primary

Addresses

Primary practice location

9171 W Thunderbird Rd
Suite 101
Peoria, AZ 85381

Mailing address

9145 W Thunderbird Rd
Suite 101
Peoria, AZ 85381-4820
Phone (623) 815-7800

Other identifiers 1

IdentifierTypeStateIssuer
127572MedicaidAZ

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
I20060919000136 AZ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6406851831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Hospital Based Physicians LLCGroup PAC ID 1052614294, 343 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Hospital Based Physicians LLC CurrentSince Feb 26, 2019 Accepting new patients
Phoenix Medical Group, P.C. Internal Medicine CurrentSince Aug 1, 2006 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Feb 26, 2019 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jul 1, 2018 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Critical Care Medicine CurrentSince Jul 1, 2018 Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Phoenix Medical Group PC Past Accepting new patients
Hospital Development of West Phoenix, Inc. Past Accepting new patients
Phoenix Medical Group, PC Past Accepting new patients

Locations

6677 W Thunderbird Rd
Ste E
Glendale, AZ 85306
Phone (602) 439-0815

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

13943 N 91st Ave
Ste B104
Peoria, AZ 85381
Phone (623) 815-8900

9145 W Thunderbird Rd
Ste 101
Peoria, AZ 85381

9171 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 877-0100

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

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

9305 W Thomas Rd
Ste 485
Phoenix, AZ 85037
Phone (602) 457-9915

5251 W Campbell Ave
Ste 204
Phoenix, AZ 85031
Phone (480) 789-3606

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

14877 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 815-8900

14873 W Bell Rd
Ste 100
Surprise, AZ 85374

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1922013689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9145 W THUNDERBIRD RD",
            "address_2": "SUITE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814820",
            "telephone_number": "623-815-7800",
            "fax_number": "623-815-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 W THUNDERBIRD RD",
            "address_2": "SUITE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-815-7800",
            "fax_number": "623-815-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGOTTO",
        "first_name": "WALTER",
        "middle_name": "HONORIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "35416",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "35416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127572",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.