Individual provider Active NPI

Lee David Richer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1093750077
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0544 Issued in AZ
Practice address
9767 N 91St St
Suite 101
Scottsdale, AZ 85258-5086
Phone
(480) 629-5903
NPI assigned
Jun 17, 2006
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0544 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X 0544 AZ Primary
Foot Surgery Podiatrist 213ES0131X 0544 AZ

Addresses

Primary practice location

9767 N 91St St
Suite 101
Scottsdale, AZ 85258-5086

Mailing address

9767 N 91St St
Suite 101
Scottsdale, AZ 85258-5086
Phone (480) 629-5903

Other identifiers 5

IdentifierTypeStateIssuer
2Z1935OtherAZHEALTH NET
7359309OtherAZAETNA
AZ0195200OtherAZBLUE CROSS/BLUE SHIELD AZ
593998MedicaidAZ
593998004OtherAZMERCY CARE

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
I20040713000271 AZ Practitioner - Podiatry 5991783490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9767 N 91St St
Suite 101
Scottsdale, AZ 85258-5086
Phone (480) 629-5903

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue116
Removal of skin lesions18
Removal of nail tissue655
Removal or shaving of skin growth338
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0544AZMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Foot Specialists, PLLC Podiatrist CurrentSince Feb 16, 2004 Accepting new patients
Jeffrey a. Copoloff, PLLC Foot & Ankle Surgery Past Accepting new patients
Talus, Limited Liability Company Podiatrist Past Accepting new patients

Locations

9767 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 502-7410

Interoperability endpoints

  • Direct secure messaging: lricher@falc.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1093750077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9767 N 91ST ST",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585086",
            "telephone_number": "480-629-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9767 N 91ST ST",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585086",
            "telephone_number": "480-629-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHER",
        "first_name": "LEE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0544",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0544",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AZ",
            "license": "0544",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Z1935",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7359309",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD AZ",
            "identifier": "AZ0195200",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "593998",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CARE",
            "identifier": "593998004",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.