Individual provider Active NPI

Michael James Tuttle, D.O.

  • Anesthesiology Physician
  • Harrisburg, PA
National Provider Identifier
1992905756
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Practice address
1102 Hamilton Cir
Harrisburg, PA 17111-3533
Phone
(585) 944-4472
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X PA Primary

Addresses

Primary practice location

1102 Hamilton Cir
Harrisburg, PA 17111-3533

Mailing address

PO Box 160
Scottsdale, AZ 85252-0160
Phone (585) 944-4472

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
I20110722000717 AZ Practitioner - Anesthesiology 5799953451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canyon State Anesthesiologists PCGroup PAC ID 8628069986, 6 clinicians

Practice addresses (Care Compare)

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon State Anesthesiologists PC Anesthesiology CurrentSince Aug 1, 2011 Accepting new patients
Sarah Aponte, MD PLC Anesthesiology Past Accepting new patients
Nova Anesthesiologists & Perioperative Services Anesthesiology Past Accepting new patients

Locations

5605 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 298-8977

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

4727 E Union Hills Dr
Ste 300
Phoenix, AZ 85050
Phone (480) 207-3737

15920 S 48th St
Ste 100
Phoenix, AZ 85048
Phone (480) 961-2323

8102 E McDowell Rd
Ste 2A
Scottsdale, AZ 85257
Phone (480) 421-1014

Interoperability endpoints

  • Direct secure messaging: mtuttle@direct.uspi.com

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992905756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852520160",
            "telephone_number": "585-944-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 HAMILTON CIR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113533",
            "telephone_number": "585-944-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.