Individual provider Active NPI

Beth Ilene Sanchez, AU.D.

  • Audiologist
  • Goodyear, AZ
National Provider Identifier
1154589125
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA2030 Issued in AZ
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

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
856161MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081208000709 AZ Practitioner - Qualified Audiologist 5890856900 Reassigns benefits to 1 organization

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
Arizona Desert Ear Nose and Throat Specialist PLLCGroup PAC ID 5890105530, 7 clinicians

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 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA2030AZMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Desert Ear Nose & Throat Specialist, PLLC CurrentSince Nov 1, 2020 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.

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.

Verify at the official NPI Registry.