Individual provider Active NPI

Richard A Ashley, M.D.

  • Pediatric Urology Physician
  • Tucson, AZ
National Provider Identifier
1003896465
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
42904 Issued in AZ
Practice address
5166 E. Glenn St.
Tucson, AZ 85712
Phone
(520) 795-5338
Fax
(520) 795-5382
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 42904 AZ Primary

Addresses

Primary practice location

5166 E. Glenn St.
Tucson, AZ 85712

Mailing address

5166 E. Glenn St.
Tucson, AZ 85712
Phone (520) 795-5338

Other identifiers 1

IdentifierTypeStateIssuer
524049MedicaidAZ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019001071 AZ Practitioner - Urology 4486847787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Mayo Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

1151 16TH Ave
Douglas, AZ 85607
Phone (520) 364-5437

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45648MNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pediatric Surgery LTD CurrentSince Sep 1, 2018 Accepting new patients
Children'S Clinics for Rehabilitative Services CurrentSince Oct 1, 2010 Accepting new patients
TMC Medical Network CurrentSince Sep 1, 2018 Accepting new patients

Locations

890 W 4th St
Benson, AZ 85602
Phone (520) 586-3664

1151 E 16th St
Douglas, AZ 85607
Phone (520) 364-5437

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

10350 E Drexel Rd
Unit 110
Tucson, AZ 85747
Phone (520) 324-1727

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

5166 E Glenn St
Tucson, AZ 85712
Phone (520) 795-5338

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

10390 N La Canada Dr
Ste 110
Tucson, AZ 85737
Phone (520) 420-2110

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.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1003896465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5166 E. GLENN ST.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-795-5338",
            "fax_number": "520-795-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5166 E. GLENN ST.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-795-5338",
            "fax_number": "520-795-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "AZ",
            "license": "42904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524049",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.