OrganizationActive
Miracle on 29th Street
NPI 1255835997 · Case Manager/Care Coordinator · Phoenix, AZ
Miracle on 29th Street is a Case Manager/Care Coordinator organization in Phoenix, AZ (NPI 1255835997).
Provider details
- NPI number
- 1255835997
- Entity type
- Organization
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Organization subpart
- No
- Authorized official
- Troy Berkley, Owner(480) 302-1101
- License
- AL10509H (AZ)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18210 N 29th St
Phoenix, AZ 85032-1103
Phone: (480) 302-1101
Street-level locationGet directions
Mailing address
18210 N 29th St
Phoenix, AZ 85032-1103
Other names (DBA / former)
- Doing business as
- Koala-D Meds
Registry dates
- Enumerated
- 2018-03-19
- Last updated
- 2025-09-12
Frequently asked questions
- What is Miracle on 29th Street's NPI number?
- Miracle on 29th Street's National Provider Identifier (NPI) is 1255835997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Miracle on 29th Street?
- Miracle on 29th Street is classified in the NPPES registry as Case Manager/Care Coordinator (Other Service Providers).
- Where is Miracle on 29th Street located?
- Miracle on 29th Street's practice location on file with NPPES is 18210 N 29th St, Phoenix, AZ 85032-1103.
- What is Miracle on 29th Street's phone number?
- The practice phone number listed in the NPPES registry for Miracle on 29th Street is (480) 302-1101.
- Who is the authorized official for Miracle on 29th Street?
- The authorized official listed on Miracle on 29th Street's NPPES record is Troy Berkley, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Miracle on 29th Street's NPI active?
- Yes — Miracle on 29th Street's NPI (1255835997) is active in the NPPES registry as of the last update on 2025-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.