Michael Reyes Medrano, PHD
NPI 1386382372ActiveIndividual· Psychologist, Clinical· Surprise, AZ
Psychologist, Clinical (PHD) with Iora Senior Health LLC and 1 other group, practicing in Surprise, Arizona. Medicare paid $4,486 for services to 71 patients in 2024.
Overview
| NPI | 1386382372 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | May 20, 2022 |
| Last updated in NPPES | Apr 18, 2025 |
| Certified by provider | Apr 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY-005525 | AZ |
| Psychologist, Clinical | 103TC0700X | PSY-2022-0046 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (AZ); Practitioner - Clinical Psychologist (CO); Practitioner - Clinical Psychologist (GA); Practitioner - Clinical Psychologist (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 73 across 3 procedure codes |
| Paid by Medicare | $4,486 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical groups
- Iora Senior Health LLCFederal Way, WA · 118 clinicians
- Iora Health Georgia PCDecatur, GA · 27 clinicians
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