Individual provider Active NPI

Brian McCardel, MD

  • Orthopaedic Surgery Physician
  • Lansing, MI
National Provider Identifier
1942206768
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301055763 Issued in MI
Practice address
3394 E Jolly Rd
Ste a
Lansing, MI 48910-8595
Phone
(517) 394-3200
Fax
(517) 394-4250
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301055763 MI Primary

Addresses

Primary practice location

3394 E Jolly Rd
Ste a
Lansing, MI 48910-8595

Mailing address

3394 E Jolly Rd
Ste a
Lansing, MI 48910-8595
Phone (517) 394-3200

Other identifiers 4

IdentifierTypeStateIssuer
200000001131OtherMIPHYSICIANS HEALTH PLAN
0334204OtherMIBLUECARE NETWORK
2003342042OtherMIBLUE CROSS/BLUE SHILD
3515597MedicaidMI

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
I20200330003197 AZ Practitioner - Orthopedic Surgery 9739151051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Michigan Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000

25101 N Lake Pleasant Pkwy
Peoria, AZ 85383-1386
Phone (602) 610-6866

5601 W Eugie Ave
Suite 100
Glendale, AZ 85304-1256
Phone (602) 865-4510

7701 W Aspera Blvd
Stes 102 201 301
Glendale, AZ 85308-7935
Phone (623) 248-2100

9165 W Thunderbird Rd
Suite 200
Peoria, AZ 85381-4847
Phone (623) 285-1120

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301055763MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince May 1, 2020 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince May 1, 2020 Accepting new patients

Locations

5601 W Eugie Ave
Ste 100
Glendale, AZ 85304
Phone (602) 865-4510

7701 W Aspera Blvd
Ste 102
Glendale, AZ 85308
Phone (623) 248-2100

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

18699 N 67th Ave
Ste 120
Glendale, AZ 85308
Phone (602) 298-8888

5757 W Thunderbird Rd
Ste E151
Glendale, AZ 85306
Phone (602) 843-3811

9165 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 285-1120

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

9165 W Thunderbird Rd
Ste 100
Peoria, AZ 85381
Phone (623) 523-6560

4375 E Irma Ln
Phoenix, AZ 85050
Phone (480) 890-5800

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

Organizations & group practices 3

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1942206768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3394 E JOLLY RD",
            "address_2": "STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108595",
            "telephone_number": "517-394-3200",
            "fax_number": "517-394-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 E JOLLY RD",
            "address_2": "STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108595",
            "telephone_number": "517-394-3200",
            "fax_number": "517-394-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARDEL",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301055763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "200000001131",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE NETWORK",
            "identifier": "0334204",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHILD",
            "identifier": "2003342042",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3515597",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.