Individual provider Active NPI

David Charles Hatch Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
National Provider Identifier
1003295643
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-000890 Issued in AZ
Practice address
2308 N Rosemont Blvd
Tucson, AZ 85712-2139
Phone
(520) 886-1176
NPI assigned
May 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X POD-000890 AZ Primary

Addresses

Primary practice location

2308 N Rosemont Blvd
Tucson, AZ 85712-2139

Mailing address

2308 N Rosemont Blvd
Tucson, AZ 85712-2139
Phone (520) 886-1176

Other practice location 1

6442 E Speedway Blvd Ste 102
Tucson, AZ 85710-1134
Phone (520) 777-4090

Other practice location 2

6422 E Speedway Blvd Ste 150
Tucson, AZ 85710-1149
Phone (520) 777-4090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180720002323 AZ Practitioner - Podiatry 6305193343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glenn E Nelson DPM LLCGroup PAC ID 8921066986, 7 clinicians

Practice addresses (Care Compare)

2308 N Rosemont Blvd
Tucson, AZ 85712-2139
Phone (520) 886-1176

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue49
Removal of skin lesions42
Removal of nail tissue100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD-000890AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Vascular Specialists, LLC Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
Glenn E Nelson DPM LLC Single Specialty CurrentSince May 1, 2022 Accepting new patients
Barton S. Fink DPM LLC Single Specialty PastSince May 1, 2022 Accepting new patients

Locations

1930 N La Canada Dr
Ste 2
Green Valley, AZ 85614
Phone (520) 545-0592

6442 E Speedway Blvd
Ste 102
Tucson, AZ 85710
Phone (520) 777-4090

4455 S Park Ave
Ste 111
Tucson, AZ 85714

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

6422 E Speedway Blvd
Ste 150
Tucson, AZ 85710
Phone (520) 318-3004

760 E Pusch View Ln
Ste 130
Tucson, AZ 85737
Phone (520) 575-9108

1082 E Ajo Way
Ste 100
Tucson, AZ 85713
Phone (520) 741-3120

2308 N Rosemont Blvd
Tucson, AZ 85712
Phone (520) 886-1172

760 E Pusch View Ln
Tucson, AZ 85737
Phone (520) 547-5688

Networks

  • NM HMO C-SNP

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1003295643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 N ROSEMONT BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122139",
            "telephone_number": "520-886-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 N ROSEMONT BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122139",
            "telephone_number": "520-886-1176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6442 E Speedway Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857101134",
            "country_code": "US",
            "telephone_number": "520-777-4090",
            "fax_number": "520-318-3061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6422 E Speedway Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857101149",
            "country_code": "US",
            "telephone_number": "520-777-4090",
            "fax_number": "520-318-3061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCH",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-000890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.