Individual provider Active NPI

Michael E Boren, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1962473041
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23498 Issued in AZ
Practice address
2001 W Orange Grove Rd
Ste. 604
Tucson, AZ 85704-1139
Phone
(520) 219-6100
Fax
(520) 219-6119
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23498 AZ Primary

Addresses

Primary practice location

2001 W Orange Grove Rd
Ste. 604
Tucson, AZ 85704-1139

Mailing address

2001 W Orange Grove Rd
Ste. 604
Tucson, AZ 85704-1139
Phone (520) 219-6100

Other practice location 1

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000

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
I20040804000070 AZ Practitioner - Internal Medicine 5799756888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Hospital & facility affiliations

  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23498AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Southern Arizona HM LLC CurrentSince May 1, 2021 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Sep 1, 2018 Accepting new patients
Yuma Regional Medical Center CurrentSince Aug 2, 2021 Accepting new patients
Northwest Allied Physicians LLC Internal Medicine PastSince Jun 1, 2006 Accepting new patients
Northwest Allied Physicians, LLC Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

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 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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1962473041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W ORANGE GROVE RD",
            "address_2": "STE. 604",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041139",
            "telephone_number": "520-219-6100",
            "fax_number": "520-219-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W ORANGE GROVE RD",
            "address_2": "STE. 604",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041139",
            "telephone_number": "520-219-6100",
            "fax_number": "520-219-6119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-344-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOREN",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "23498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.