Individual provider Active NPI

Christopher M. Fecarotta, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Phoenix, AZ
National Provider Identifier
1003072018
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
54397 Issued in AZ
Practice address
9305 W Thomas Rd Ste 460
Phoenix, AZ 85037
Phone
(602) 933-3937
Fax
(602) 933-2409
NPI assigned
Jul 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD34227 AL
Ophthalmology Physician 207W00000X 273302-1 NY
Ophthalmology Physician 207W00000X C10009377 DE
Ophthalmology Physician 207W00000X MT192252 PA
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 54397 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd Ste 460
Phoenix, AZ 85037

Mailing address

3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ, KS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140509002050 NY Practitioner - Ophthalmology 1557539038 Reassigns benefits to 2 organizations
I20170825002113 AZ Practitioner - Ophthalmology 1557539038 Reassigns benefits to 2 organizations
I20211005001105 KS Practitioner - Ophthalmology 1557539038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Children'S HospitalGroup PAC ID 0446278584, 431 clinicians

Practice addresses (Care Compare)

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10009377DEMDOphthalmology Physician
273302-1NYMDOphthalmology Physician
MT192252PAMDOphthalmology Physician
54397AZMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children'S Hospital Current Accepting new patients
Minuteclinic Diagnostic of Kansas PA CurrentSince Jul 6, 2021 Accepting new patients
Medical Group of New York, P.C. CurrentSince Jul 7, 2021 Accepting new patients
University Physicians of Brooklyn, Inc. Ophthalmology CurrentSince Feb 1, 2014 Accepting new patients
Minuteclinic LLC CurrentSince Feb 1, 2021 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Feb 1, 2014 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Oct 1, 2017 Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients
Indiana University Eye Care Inc. Ophthalmology Past Accepting new patients
Arizona Pediatric Eye Specialists, PLC Ophthalmology PastSince Aug 1, 2006 Accepting new patients
SCHC Pediatric Associates, LLC Past Accepting new patients

Locations

3370 S Mercy Rd
Ste 213
Gilbert, AZ 85297

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

3370 S Mercy Rd
Gilbert, AZ 85297
Phone (602) 933-0935

1220 S Higley Rd
Ste 106
Mesa, AZ 85206
Phone (602) 933-3937

2045 S Vineyard
Ste 137
Mesa, AZ 85210

9305 W Thomas Rd
Ste 460
Phoenix, AZ 85037
Phone (602) 933-3937

1920 E Cambridge Ave
Ste 200
Phoenix, AZ 85006
Phone (602) 933-0965

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

1920 E Cambridge Ave
Ste 203
Phoenix, AZ 85006
Phone (602) 933-3937

10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544

3832 E Speedway Blvd
Tucson, AZ 85716
Phone (520) 323-3923

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

150 55th St
Rm 3618
Brooklyn, NY 11220
Phone (718) 630-7477

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/arizonaeye

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1003072018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182327",
            "telephone_number": "602-933-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 460",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85037",
            "telephone_number": "602-933-3937",
            "fax_number": "602-933-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECAROTTA",
        "first_name": "CHRISTOPHER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD34227",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "273302-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C10009377",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MT192252",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "AZ",
            "license": "54397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.