MIRAGE MEDICAL LLC
MIRAGE MEDICAL LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1609206549, based in Phoenix, AZ. The organization lists 3 taxonomy classifications, with Pain Medicine (Physical Medicine & Rehabilitation) Physician recorded as primary.
Getting there
The practice address on file is 10046 N METRO PKWY W SUITE 115, Phoenix, AZ 85051. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 5988 | AZ | Pain Medicine (Physical Medicine &… primary |
| AP4986 | AZ | Family Nurse Practitioner |
| AP2828 | AZ | Family Health Clinical Nurse Specialist |
This provider holds licence 5988 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pain Medicine covers
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. NUCC Health Care Provider Taxonomy, code 2081P2900X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | 5988 | AZ | primary |
| 363LF0000X | Family Nurse Practitioner Family | AP4986 | AZ | |
| 364SF0001X | Family Health Clinical Nurse Specialist Family Health | AP2828 | AZ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1609206549 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 13, 2013 |
| Last updated | Nov 13, 2013 |
| Status | Active |
| Practice address |
10046 N METRO PKWY W SUITE 115 Phoenix, AZ 85051 (602) 674-5515 Fax (602) 674-3029 |
| Mailing address |
1001 E WARNER RD SUITE 107 Tempe, AZ 85284 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 0 | 9 | 2 | 0 | 6 | 5 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 0 | 9 | 4 | 0 | 3 | 5 | 8 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.