ELLEN MIKRUT MD
NPI 1710735915
Student in an Organized Health Care Education/Training Program in Phoenix, AZ
NPI Status: Active since May 11, 2024
Contact Information
1441 N 12TH ST
PHOENIX, AZ
ZIP 85006
Phone: (602) 521-5700
Fax: (602) 521-5701
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About ELLEN MIKRUT
This page provides the complete NPI Profile along with additional information for Ellen Mikrut, a primary care provider established in Phoenix, Arizona with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1710735915 assigned on May 2024. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1710735915
- Provider Name
- ELLEN MIKRUT MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1441 N 12TH ST PHOENIX, AZ 85006
- Location Phone
- (602) 521-5700
- Location Fax
- (602) 521-5701
- Mailing Address
- 1111 E MCDOWELL RD PHOENIX, AZ 85006
- Mailing Phone
- (602) 839-3827
- Mailing Fax
- (602) 521-5701
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-11-2024
- Last Update Date
- 05-11-2024
- Code Navigator
A primary care provider (PCP) like Ellen Mikrut sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Ellen Mikrut is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 7 | 3 | 5 | 9 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 14 | 3 | 10 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 1 + 4 + 3 + 1 + 0 + 9 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1710735915 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1134181654 | WENDY CAROL HERSHEY PC-C Individual | Physician Assistant | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 495-4577 |
| 1144283615 | TRILOK S KHANNA M.D. Individual | Surgery | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 495-4577 |
| 1538123898 | CHRISTINA D MACFARLANE LCSW Individual | Social Worker (Clinical) | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 495-4577 |
| 1386600955 | DANIEL J ASCHENBRENER D.O. Individual | Orthopaedic Surgery | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1386600757 | DON C BERESINI MD Individual | Radiology (Diagnostic Radiology) | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1124086152 | CALVIN L LUTRIN MD Individual | Nuclear Medicine | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1881652170 | MARY ELLEN QUINN FNP-C Individual | Nurse Practitioner | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1083662209 | NICHOLAS P WILLIAMS DO Individual | Family Medicine | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1366490435 | SUSAN A MALINE MD Individual | Internal Medicine | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1588615892 | PHILLIP L MATTHEWS PA Individual | Physician Assistant | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1457302556 | DUNGCHI NGUYEN DO Individual | General Practice | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1386695484 | CECILIA M SANDERS MD Individual | Radiology (Diagnostic Radiology) | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1780638452 | RICHARD J HREZO CRNA Individual | Nurse Anesthetist, Certified Registered | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1053368738 | FORREST D GORTER PAC Individual | Physician Assistant | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1144262726 | HOWARD BERT WERNICK MD Individual | Internal Medicine | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1790729747 | TIMOTHY LYNN ENGLAND DO Individual | Family Medicine | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1710923131 | MICHAEL R MEHLHAFF CRNA Individual | Nurse Anesthetist, Certified Registered | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1255369112 | CHRISTOPHER ROY SPOONER NMD Individual | Naturopath | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1184643819 | JAMES L MAVES CRNA Individual | Nurse Anesthetist, Certified Registered | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
| 1467462440 | PAUL A. ROBERTSON CRNA Individual | Nurse Anesthetist, Certified Registered | 1441 N 12TH ST PHOENIX, AZ 85006 (602) 747-4577 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710735915, enumerated in the NPI registry as an "individual" on May 11, 2024
The provider is located at 1441 N 12th St Phoenix, Az 85006 and the phone number is (602) 521-5700
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 11, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.