Individual provider Active NPI

Richard A Manch, M.D.

  • Hepatology Physician
  • Glendale, AZ
National Provider Identifier
1043289341
Registry record updated Jan 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
7079 Issued in AZ
Practice address
6677 Thunderbird Road
Building G, #116
Glendale, AZ 85306
Phone
(148) 068-6887
NPI assigned
Mar 17, 2006
Last updated
Jan 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
275108MedicaidAZ

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
I20051031000310 AZ Practitioner - Gastroenterology 1153348040 Reassigns benefits to 1 organization

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
Institute for Liver Health LLCGroup PAC ID 3274898010, 20 clinicians

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

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Current Accepting new patients
Institute for Liver Health, LLC Hepatology CurrentSince Jul 1, 2018 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBHHAD/Endpoint/BBHHAD
  • Direct secure messaging: manch.richard@direct.azkrmc.md
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.