Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770007361 Individual Practitioner Male Practitioner

Dr. Mario Manuel Portillo , DC

Chiropractor • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mario Portillo, DC is a certified Chiropractor practicing in Phoenix, AZ. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Portillo delivers high-quality medical care to the local community at 20860 N TATUM BLVD STE 290.

Dr. Portillo is affiliated with Afc Physical Medicine Of Desert Ridge,Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

20860 N Tatum Blvd Ste 290

Phoenix, AZ 850504282

Telephone 4805631144
Fax 4805632371
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Phoenix, AZ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -14.0 yrs vs City Avg
City Avg: 25.0 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
460 Specialists

Practicing in Phoenix, AZ (2102 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Portillo (11 Years) 11 Yrs
Phoenix Specialty Average (25.0 Years) 25.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
424 67 $70.00 $38.14

Medical Specialties & State Licenses

CMS Verified: 2023-02-28
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License AZ 8652

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor - Rehabilitation

NUCC Taxonomy Code: 111NR0400X

State License AZ 8652

Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.

Hospital & Practice Group Affiliations

Afc Physical Medicine Of Desert Ridge,pllc

20860 N Tatum Blvd, Phoenix, AZ 850504282

Phone: 4805631144

Secondary Practice Locations

1277 E Missouri Ave Ste 101

Phoenix, AZ 850142916

Phone: 6022964060

2919 S Ellsworth Rd Ste 111

Mesa, AZ 852122165

Phone: 4805641185

14239 W Bell Rd Ste 108

Surprise, AZ 853742470

Phone: 6232484283

2145 E Warner Rd Ste 104

Tempe, AZ 852843549

Phone: 4806649444

270 E Hunt Hwy Ste A2

San Tan Valley, AZ 851434962

Phone: 4808822222

15256 N 75th Ave Ste 360

Peoria, AZ 853814761

Phone: 6234862424

3130 E Baseline Rd Ste 107

Mesa, AZ 852047290

Phone: 4803451980

3011 S Lindsay Rd Ste 101

Gilbert, AZ 852954333

Phone: 4807262500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Joel Cohen , MD

Otolaryngology

NPI 1184719791

Doctor of Medicine (M.D.)

NPI 1336310184

Doctor of Chiropractic

Isabella Leviyev , PA-C

Physician Assistant - Medical

NPI 1720255185

Physician Assistant (Certified)

Connor Gorman , PA-C

Physician Assistant - Medical

NPI 1851000731

Physician Assistant (Certified)

NPI 1861499485

Doctor of Chiropractic, LTD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2023

Chiropractor (License #8652 in AZ)

📍
Updated Practice Location August 05, 2020

Registered at 20860 N TATUM BLVD STE 290, PHOENIX, AZ 850504282 (Tel: 4805631144)

📍
Updated Business Mailing Address August 05, 2020

Registered at 1839 S ALMA SCHOOL RD STE 354, MESA, AZ 852103028 (Tel: 4807262287)

NPI Profile Active July 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2017

Registered at 745 S VAL VISTA DR, GILBERT, AZ 852963131 (Tel: 4804972900)

📍
Updated Business Mailing Address July 26, 2017

Registered at 17222 N 32ND PL, PHOENIX, AZ 850322005 (Tel: 5629689397)

👤
Provider Name / Credentials Updated July 26, 2017

Recorded as MARIO PORTILLO, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2017

Chiropractor (License #8652 in AZ)

🟢
Initial NPI Registration & Enumeration July 26, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770007361
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2017
Last Update: February 28, 2023
Sole Proprietor: Yes

Mailing Address

1839 S Alma School Rd Ste 354

Mesa, AZ 852103028

Phone: 4807262287

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.