Individual provider Active NPI

Michael D Sweeten, PAC

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1952520058
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2901 Issued in AZ
Practice address
4530 E Muirwood Dr Ste 110
Phoenix, AZ 85048-7693
Phone
(480) 763-5808
NPI assigned
Apr 25, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2901 AZ Primary

Addresses

Primary practice location

4530 E Muirwood Dr Ste 110
Phoenix, AZ 85048-7693

Mailing address

5946 W Kesler LN
Chandler, AZ 85226-4488
Phone (480) 363-3987

Other identifiers 2

IdentifierTypeStateIssuer
1059873OtherAZNATIONAL CERTIFICATION
2901OtherAZSTATE LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140911000374 AZ Practitioner - Physician Assistant 3476772161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

3420 S Mercy Rd
Suite 221
Gilbert, AZ 85297-0424
Phone (480) 681-7134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2901AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD CurrentSince Feb 1, 2018 Accepting new patients
Neurosurgical Associates, LTD CurrentSince Feb 1, 2018 Accepting new patients

Locations

1875 W Frye Rd
Ste 300
Chandler, AZ 85224
Phone (480) 917-5600

3420 S Mercy Rd
Ste 221
Gilbert, AZ 85297
Phone (480) 681-7374

4530 E Muirwood Dr
Ste 110
Phoenix, AZ 85048
Phone (480) 763-5808

2910 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 406-3008

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

4530 E Muirwood Dr
Phoenix, AZ 85048
Phone (480) 610-6981

Interoperability endpoints

  • Direct secure messaging: michael.sweeten.1@31799.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952520058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5946 W KESLER LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264488",
            "telephone_number": "480-363-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E MUIRWOOD DR STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487693",
            "telephone_number": "480-763-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEETEN",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION",
            "identifier": "1059873",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2901",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.