Mirage Medical LLC
NPI 1609206549 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Phoenix, AZ
Mirage Medical LLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Phoenix, AZ (NPI 1609206549).
Provider details
- NPI number
- 1609206549
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeremy Buckner, Owner(602) 421-2730
- License
- AP4986 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2013-11-13
- Last updated
- 2013-11-13
Frequently asked questions
- What is Mirage Medical LLC's NPI number?
- Mirage Medical LLC's National Provider Identifier (NPI) is 1609206549, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mirage Medical LLC?
- Mirage Medical LLC is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Mirage Medical LLC located?
- Mirage Medical LLC's practice location on file with NPPES is 10046 N Metro Pkwy W, Phoenix, AZ 85051-1437.
- What is Mirage Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Mirage Medical LLC is (602) 674-5515.
- Who is the authorized official for Mirage Medical LLC?
- The authorized official listed on Mirage Medical LLC's NPPES record is Jeremy Buckner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mirage Medical LLC's NPI active?
- Yes — Mirage Medical LLC's NPI (1609206549) is active in the NPPES registry as of the last update on 2013-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.