Active NPI
Beth Ilene Sanchez, AU.D.
- Audiologist
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA2030
- Practice address
- 13555 W McDowell Rd Ste 209
Goodyear, AZ 85395 - Phone
- (623) 512-4176
- Fax
- (623) 512-4199
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA2030 | AZ | Primary |
Addresses
Primary practice location
13555 W McDowell Rd Ste 209
Goodyear, AZ 85395
Mailing address
13555 W McDowell Rd Ste 209
Goodyear, AZ 85395-2628
Phone (623) 512-4199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 856161 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2111 E Highland Ave
Suite 431B
Phoenix, AZ 85016-4735
Phone (623) 512-4162
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA2030 | AZ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Desert Ear Nose & Throat Specialist, PLLC | Current | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Past | Accepting new patients | |
| Sonus-USA, Inc. | Past | Accepting new patients |
Locations
1355 N Litchfield Rd
Ste 135
Goodyear, AZ 85395
Phone (623) 512-4199
1355 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 848-5700
13555 W McDowell Rd
Ste 209
Goodyear, AZ 85395
Phone (623) 512-4162
2111 E Highland Ave
Ste 431B
Phoenix, AZ 85016
Phone (623) 512-4162
2111 E Highland Ave
Ste B431
Phoenix, AZ 85016
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Goodyear, AZ
- NPI 1124674288
-
- Family Medicine Physician
- Payson, AZ
- NPI 1740459700
-
- Audiologist-Hearing Aid Fitter
- Tucson, AZ
- NPI 1982619748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1154589125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13555 W MCDOWELL RD STE 209",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952628",
"telephone_number": "623-512-4199",
"fax_number": "623-512-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13555 W MCDOWELL RD STE 209",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "85395",
"telephone_number": "623-512-4176",
"fax_number": "623-512-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "BETH",
"middle_name": "ILENE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA2030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "856161",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.