MICHAEL KUSHNER
NPI 1740930601
General Practice in Phoenix, AZ

Active since March 24, 2022PECOS Enrolled
40 E INDIANOLA AVE, PHOENIX, AZ 85012(480) 660-5775 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Mar 31, 2025 (2 updates tracked since 2025).

About Michael Kushner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL KUSHNER (NPI 1740930601) is an individual general practice provider in Phoenix, Arizona, licensed in Arizona (010654) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1740930601
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMICHAEL KUSHNER
Location Address40 E INDIANOLA AVEPhoenix, AZ 85012-2019
Mailing Address3100 Channing WayIdaho Falls, ID 83404-7533
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 24, 2022
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1740930601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses Licensed in AZ · 010654 Licensed in FL · OS20777 Licensed in ID · 6161277
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
40 E INDIANOLA AVE, Phoenix, AZ 85012

Secondary Practice Locations 3

Location 122601 N 19th Ave Ste 112Phoenix, AZ 85027-1324 · Phone (602) 293-3277
Location 22133 E Warner Rd Ste 103Tempe, AZ 85284-3492 · Phone (480) 636-1417
Location 314010 N Northsight BlvdScottsdale, AZ 85260-3601 · Phone (480) 443-0384

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Kushner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739560699
PECOS Enrollment IDI20250710001819
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
40 E INDIANOLA AVE
PHOENIX, AZ 85012
Physical Therapy Assistant
40 E INDIANOLA AVE
PHOENIX, AZ 85012
Long Term Care Hospital
40 E INDIANOLA AVE
PHOENIX, AZ 85012
Internal Medicine
40 E INDIANOLA AVE
PHOENIX, AZ 85012
Social Worker (Clinical)
40 E INDIANOLA AVE
PHOENIX, AZ 85012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Kushner's NPI number?

The NPI number for Michael Kushner is 1740930601. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Michael Kushner located?

Michael Kushner practices at 40 E Indianola Ave, Phoenix, AZ 85012. The listed phone number is (480) 660-5775.

What is Michael Kushner's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Michael Kushner enrolled in Medicare?

Yes. Michael Kushner is registered in the Medicare PECOS enrollment system.

What insurance does Michael Kushner accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Michael Kushner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Kushner was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.