Individual provider Active NPI

Richard Blumrick, M.D.

  • Maternal & Fetal Medicine Physician
  • Chandler, AZ
National Provider Identifier
1114982394
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
30198 Issued in AZ
Practice address
1727 W Frye Rd
Suite 200
Chandler, AZ 85224-5295
Phone
(480) 728-9881
Fax
(480) 728-9890
NPI assigned
Apr 19, 2006
Last updated
Jun 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 30198 AZ Primary

Addresses

Primary practice location

1727 W Frye Rd
Suite 200
Chandler, AZ 85224-5295

Mailing address

File 56765
Los Angeles, CA 90074-6765
Phone (602) 406-3860

Other identifiers 1

IdentifierTypeStateIssuer
690471MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30198AZMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Arizona Inc CurrentSince Feb 15, 2017 Accepting new patients
Physician Group of Arizona Inc CurrentSince Feb 15, 2017 Accepting new patients
Obstetrix Medical Group of Phoenix PC Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Maternal & Fetal Medicine Past Accepting new patients

Locations

1537 S Higley Rd
Gilbert, AZ 85296
Phone (480) 257-2698

10238 E Hampton Ave
Ste 212
Mesa, AZ 85209
Phone (480) 632-2004

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

Organizations & group practices 4

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1114982394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 56765",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900746765",
            "telephone_number": "602-406-3860",
            "fax_number": "602-406-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 W FRYE RD",
            "address_2": "SUITE 200",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245295",
            "telephone_number": "480-728-9881",
            "fax_number": "480-728-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMRICK",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "30198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690471",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.