Individual provider Active NPI

Christopher E. Couch, M.D.

  • Allergy & Immunology Physician
  • Phoenix, AZ
National Provider Identifier
1154620714
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
51099 Issued in AZ
Practice address
300 W Clarendon Ave
Suite 120
Phoenix, AZ 85013-3420
Phone
(602) 277-3337
Fax
(602) 277-3330
NPI assigned
Mar 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 51099 AZ Primary

Addresses

Primary practice location

300 W Clarendon Ave
Suite 120
Phoenix, AZ 85013-3420

Mailing address

300 W Clarendon Ave
Suite 120
Phoenix, AZ 85013-3420
Phone (602) 277-3337

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160516002219 AZ Practitioner - Allergy/Immunology 3577796739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Arizona College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy Asthma Clinic LTDGroup PAC ID 7517942493, 4 clinicians

Practice addresses (Care Compare)

300 W Clarendon Ave
Suite 120
Phoenix, AZ 85013-3421
Phone (602) 277-3337

Merit-based Incentive Payment System (MIPS)

Final score
93.63 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51099AZMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma Clinic LTD Allergy & Immunology CurrentSince Jul 1, 2016 Accepting new patients

Locations

2905 W Warner Rd
Ste 24
Chandler, AZ 85224
Phone (480) 834-1352

2525 W Greenway Rd
Ste 140
Phoenix, AZ 85023
Phone (602) 277-3337

300 W Clarendon Ave
Ste 120
Phoenix, AZ 85013
Phone (602) 277-3337

300 W Clarendon Ave
Phoenix, AZ 85013
Phone (602) 266-5887

13967 W Grand Ave
Ste 102
Surprise, AZ 85374
Phone (602) 277-3337

Organizations & group practices 1

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1154620714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE",
            "address_2": "SUITE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133420",
            "telephone_number": "602-277-3337",
            "fax_number": "602-277-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE",
            "address_2": "SUITE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133420",
            "telephone_number": "602-277-3337",
            "fax_number": "602-277-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "CHRISTOPHER",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AZ",
            "license": "51099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.