Individual provider Active NPI

Michael T Gutman, M.D.

  • Otolaryngology Physician
  • Phoenix, AZ
National Provider Identifier
1952306458
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
32948 Issued in AZ
Practice address
3805 E. Bell Road
Suite 5800
Phoenix, AZ 85032-2190
Phone
(602) 688-6500
Fax
(602) 867-3144
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32948 AZ
Otolaryngology Physician 207Y00000X 32948 AZ Primary

Addresses

Primary practice location

3805 E. Bell Road
Suite 5800
Phoenix, AZ 85032-2190

Mailing address

3805 E. Bell Road
Suite 5800
Phoenix, AZ 85032-2190
Phone (608) 688-6500

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
I20040816001441 AZ Practitioner - Otolaryngology 1456324656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Valley Ear Nose and Throat Associates PCGroup PAC ID 3173427036, 6 clinicians

Practice addresses (Care Compare)

3805 E Bell Rd
Suite 5800
Phoenix, AZ 85032-2190
Phone (602) 688-6500

6320 W Union Hills Dr
Suite A170
Glendale, AZ 85308-7152
Phone (602) 688-6500

Hospital & facility affiliations

  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Ear, Nose & Throat Associates, P.C Otolaryngology CurrentSince Feb 18, 2024 Accepting new patients

Locations

6320 W Union Hills Dr
Ste A170
Glendale, AZ 85308
Phone (602) 688-6500

3805 E Bell Rd
Ste 5800
Phoenix, AZ 85032
Phone (602) 688-6500

Organizations & group practices 2

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 2

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1952306458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E. BELL ROAD",
            "address_2": "SUITE 5800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322190",
            "telephone_number": "608-688-6500",
            "fax_number": "602-867-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E. BELL ROAD",
            "address_2": "SUITE 5800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322190",
            "telephone_number": "602-688-6500",
            "fax_number": "602-867-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTMAN",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "32948",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "32948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.