Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mirage Medical LLC

Q: What is the NPI number for Mirage Medical LLC?

The NPI for Mirage Medical LLC is 1609206549, a Type 2 (organization) record in the CMS NPPES registry.

Pain Medicine (Physical Medicine & Rehabilitation) Physician in Phoenix, AZ · enumerated 2013 · authorized official Jeremy Buckner, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609206549

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Registry record

Entity type Organization (Type 2)

Legal business name Mirage Medical LLC

Practice address 10046 N Metro Pkwy W, Suite 115, Phoenix, AZ, 85051

Phone (602) 674-5515

Fax (602) 674-3029

Enumeration date Nov 13, 2013

Last updated in NPPES Nov 13, 2013

Taxonomy & classification

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 5988 (AZ) Primary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP4986 (AZ) Secondary

364SF0001X Family Health Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers · License AP2828 (AZ) Secondary

Authorized official

Name Jeremy Buckner

Title Owner

Phone (602) 421-2730

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Mirage Medical LLC?

NPPES lists Jeremy Buckner (Owner) as the authorized official for this organization.

What is the NPI number for Mirage Medical LLC?

The NPI for Mirage Medical LLC is 1609206549, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-13.