Active NPI
Richard A Manch, M.D.
- Hepatology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hepatology Physician
- License
- 7079
- Practice address
- 6677 Thunderbird Road
Building G, #116
Glendale, AZ 85306 - Phone
- (148) 068-6887
- NPI assigned
- Mar 17, 2006
- Last updated
- Jan 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 7079 | AZ | |
| Hepatology Physician | 207RI0008X | 7079 | AZ | Primary |
Addresses
Primary practice location
6677 Thunderbird Road
Building G, #116
Glendale, AZ 85306
Mailing address
2201 W Fairview St Ste 9
Chandler, AZ 85224-4711
Phone (480) 407-4000
Other practice location 1
899 N Wilmot Rd Ste E4
Tucson, AZ 85711-1783
Phone (480) 686-8874
Other practice location 2
2201 W Fairview St Ste 9
Chandler, AZ 85224-4711
Phone (480) 407-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275108 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- State University of New York at Buffalo School of Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1150 N San Francisco St
Flagstaff, AZ 86001-3200
Phone (928) 863-1000
2201 W Fairview St
Suite 9
Chandler, AZ 85224-4704
Phone (480) 470-4000
910 E Pecos Rd
Chandler, AZ 85225-2461
Phone (480) 470-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Institute for Liver Health, LLC | Hepatology | Current | Accepting new patients |
| Banner -- University Medical Center Phoenix Campus Internal Medicine | Past | Accepting new patients | |
| Arizona State Urological Institute LLC | Past | Accepting new patients | |
| Banner -- University Medical Center PHX Campus Liver Disease Services | Past | Accepting new patients |
Locations
2201 W Fairview St
Ste 9
Chandler, AZ 85224
Phone (480) 407-4000
600 S Dobson Rd
Ste B10
Chandler, AZ 85224
Phone (480) 528-5340
910 E Pecos Rd
Chandler, AZ 85225
Phone (480) 360-4000
6677 W Thunderbird Rd
Glendale, AZ 85306
Phone (623) 255-4180
6677 W Thunderbird Rd
Ste G116
Glendale, AZ 85306
Phone (623) 435-1954
15396 N 83rd Ave
Ste E
Peoria, AZ 85381
Phone (623) 241-9028
1601 N Swan Rd
Tucson, AZ 85712
Phone (520) 485-4000
899 N Wilmot Rd
Ste E4
Tucson, AZ 85711
Phone (480) 686-8874
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBHHAD/Endpoint/BBHHAD
- manch.richard@direct.azkrmc.md
- manch.richard@st.direct.azkrmc.md
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arizona Liver Health
- Hepatology Physician
- Chandler, AZ
- NPI 1831603505
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
- Urology Physician
- Gilbert, AZ
- NPI 1144231895
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1124071162
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1992985121
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
dba Northern Arizona Healthcare - Sedona
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578787200000",
"number": "1043289341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 W FAIRVIEW ST STE 9",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244711",
"telephone_number": "480-407-4000",
"fax_number": "480-686-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6677 THUNDERBIRD ROAD",
"address_2": "BUILDING G, #116",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85306",
"telephone_number": "148-068-6887"
}
],
"practiceLocations": [
{
"address_1": "899 N Wilmot Rd Ste E4",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857111783",
"country_code": "US",
"telephone_number": "480-686-8874",
"fax_number": "480-686-8875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2201 W Fairview St Ste 9",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852244711",
"country_code": "US",
"telephone_number": "480-407-4000",
"fax_number": "480-686-8875",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANCH",
"first_name": "RICHARD",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2020-01-12",
"certification_date": "2020-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AZ",
"license": "7079",
"primary": false
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "AZ",
"license": "7079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275108",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.