Individual provider Active NPI

Michael J Orris, D.O.

  • Surgery Physician
  • Tempe, AZ
National Provider Identifier
1982646097
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4275 Issued in AZ
Practice address
1855 E. Southern Avenue
Tempe, AZ 85282-5894
Phone
(480) 829-6100
Fax
(480) 446-7602
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RB0002X 4275 AZ
Surgery Physician 208600000X 4275 AZ Primary

Addresses

Primary practice location

1855 E. Southern Avenue
Tempe, AZ 85282-5894

Mailing address

1855 E. Southern Avenue
Tempe, AZ 85282-5894
Phone (480) 829-6100

Other identifiers 3

IdentifierTypeStateIssuer
2Z2488OtherAZHEALTHNET OF AZ
044930MedicaidAZ
AZ0786380OtherAZAZ BCBS

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
I20231010004065 AZ Practitioner - General SurgeryPractitioner - Other (Physician) 8628008893 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Bariatric and Laparoscopic Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Arizona Surgical Associates PastSince Jan 1, 1990 Accepting new patients
Arizona Surgical Institute LLC Multi-Specialty PastSince Jan 1, 1990 Accepting new patients
Az Surgical Weight Loss, PLLC Surgery Past Accepting new patients
East Valley Surgery Center, LLC PastSince Jun 14, 2010 Accepting new patients
Weight Loss Surgical Associates Multi-Specialty PastSince Oct 18, 2011 Accepting new patients

Locations

1855 E Southern Ave
Ste 4
Tempe, AZ 85282
Phone (480) 689-5104

1855 E Southern Ave
Tempe, AZ 85282
Phone (480) 829-6100

1847 E Southern Ave
Ste 2
Tempe, AZ 85282
Phone (480) 897-1122

Organizations & group practices 6

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1982646097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 E. SOUTHERN AVENUE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825894",
            "telephone_number": "480-829-6100",
            "fax_number": "480-446-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 E. SOUTHERN AVENUE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825894",
            "telephone_number": "480-829-6100",
            "fax_number": "480-446-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORRIS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "AZ",
            "license": "4275",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "4275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF AZ",
            "identifier": "2Z2488",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044930",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BCBS",
            "identifier": "AZ0786380",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.