Individual provider Active NPI

David Henry Zacheis, M.D.

  • Otolaryngology Physician
  • Tucson, AZ
National Provider Identifier
1134192248
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
49389 Issued in AZ
Practice address
395 N Silverbell Rd Ste 201
Tucson, AZ 85745-2719
Phone
(520) 792-2170
Fax
(520) 792-9702
NPI assigned
Feb 9, 2006
Last updated
Apr 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 43544 CO
Otolaryngology Physician 207Y00000X 49389 AZ Primary

Addresses

Primary practice location

395 N Silverbell Rd Ste 201
Tucson, AZ 85745-2719

Mailing address

9097 E Desert Cove Ave Ste 200
Scottsdale, AZ 85260-6280
Phone (480) 614-5406

Other identifiers 2

IdentifierTypeStateIssuer
49389OtherAZARIZONA MEDICAL BOARD
72756764MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 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
I20050714000318 CO Practitioner - Otolaryngology 0749216364 Reassigns benefits to 1 organization
I20140826002298 AZ Practitioner - Otolaryngology 0749216364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loyola University of Chicago, Stritch School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley ENT PCGroup PAC ID 8729149711, 70 clinicians

Practice addresses (Care Compare)

1980 W Hospital Dr
Suite 201
Tucson, AZ 85704-7804
Phone (520) 792-2170

395 N Silverbell Rd
Suite 201
Tucson, AZ 85745-2719
Phone (520) 792-2170

9097 E Desert Cove Ave
Suite 250
Scottsdale, AZ 85260-6278
Phone (480) 847-1193

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
71.49
Promoting interoperability
100
Improvement activities
40
Cost
73.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49389AZMDOtolaryngology Physician
43544COMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Ear, Nose and Throat, PC Otolaryngology CurrentSince Jul 15, 2005 Accepting new patients
Northern Arizona Ear Nose and Throat PC Otolaryngology PastSince Sep 1, 2001 Accepting new patients
Arizona Community Surgeons PC Past Accepting new patients
Valley ENT, PC Otolaryngology PastSince Oct 3, 2016 Accepting new patients

Locations

1120 E Elizabeth St
Ste F101
Fort Collins, CO 80524
Phone (970) 221-1177

3820 Grant Ave
Loveland, CO 80538
Phone (970) 593-1177

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 1

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1134192248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE AVE STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606280",
            "telephone_number": "480-614-5406",
            "fax_number": "480-214-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452719",
            "telephone_number": "520-792-2170",
            "fax_number": "520-792-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHEIS",
        "first_name": "DAVID",
        "middle_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "43544",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "49389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "49389",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72756764",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.