ACCREDITED INTERNAL MEDICINE P.C. – NPI #1194993600
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

ACCREDITED INTERNAL MEDICINE P.C. is a provider located in PHOENIX, AZ. NPPES has assigned the NPI number 1194993600 to ACCREDITED INTERNAL MEDICINE P.C. on February 19, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 3 years ago on Jul 18, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACCREDITED INTERNAL MEDICINE P.C. below.

NPI Profile for
ACCREDITED INTERNAL MEDICINE P.C.

NPI Number
1194993600
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACCREDITED INTERNAL MEDICINE P.C.
Primary location
921 W CAMELBACK RD
PHOENIX, AZ 85013
Phone: (480) 961-0014 Fax:
Mailing address
2875 W. RAY RD
SUITE 6-317
CHANDLER, AZ 85224
Phone: (480) 961-0014 Fax:
Organization Subpart
No
Authorized Official
MICHAEL CARLTON
OWNER
Phone: (480) 961-0014
Updated
Certification Date
Jul 18, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ACCREDITED INTERNAL MEDICINE P.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAZ169187
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0401X
- Internal Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.