Individual provider Active NPI

Todd A. Richards, MD

  • Plastic and Reconstructive Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1053499541
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
47711 Issued in AZ
Practice address
370 E Virginia Ave
100
Phoenix, AZ 85004-1214
Phone
(602) 258-4788
Fax
(602) 258-5131
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A90343 CA
Plastic and Reconstructive Surgery Physician 2086S0122X 47711 AZ Primary
Surgery of the Hand (Surgery) Physician 2086S0105X 47711 AZ

Addresses

Primary practice location

370 E Virginia Ave
100
Phoenix, AZ 85004-1214

Mailing address

PO Box 7587
Phoenix, AZ 85011-7587
Phone (602) 258-4788

Other identifiers 1

IdentifierTypeStateIssuer
810077MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130715000742 AZ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 7719909084 Reassigns benefits to 3 organizations
I20180924000101 TX Practitioner - Plastic and Reconstructive Surgery 7719909084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Center for Hand Surgery PCGroup PAC ID 4880585603, 32 clinicians

Practice addresses (Care Compare)

370 E Virginia Ave
Suite 100
Phoenix, AZ 85004-1254
Phone (602) 258-4788

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision29
Removal of tissue24
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Apr 1, 2025 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Apr 1, 2025 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 25, 2018 Accepting new patients
Arizona Center for Hand Surgery PC Surgery of the Hand CurrentSince Aug 1, 2013 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 1, 2018 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 1, 2018 Accepting new patients
Arizona Center for Hand Surgery PC Surgery of the Hand CurrentSince Aug 1, 2013 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 25, 2018 Accepting new patients
Banner - University Physician Specialists LLC Current Accepting new patients
Arizona Center for Hand Surgery PC Surgery of the Hand Past Accepting new patients

Locations

2111 W University Dr
Mesa, AZ 85201
Phone (480) 206-6240

1520 S Dobson Rd
Ste 210
Mesa, AZ 85202
Phone (480) 898-8593

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

15830 N 35th Ave
Ste 1
Phoenix, AZ 85053
Phone (602) 298-1188

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

370 E Virginia Ave
Phoenix, AZ 85004
Phone (480) 206-6240

3329 E Bell Rd
Ste A5
Phoenix, AZ 85032

370 E Virginia Ave
Ste 100
Phoenix, AZ 85004
Phone (602) 200-8988

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

9220 E Mountain View Rd
Ste 200
Scottsdale, AZ 85258
Phone (480) 451-6756

Organizations & group practices 10

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 5

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1053499541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7587",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850117587",
            "telephone_number": "602-258-4788",
            "fax_number": "602-258-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E VIRGINIA AVE",
            "address_2": "100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041214",
            "telephone_number": "602-258-4788",
            "fax_number": "602-258-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "TODD",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A90343",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "47711",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "AZ",
            "license": "47711",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810077",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.