Individual provider Active NPI

Andrew Navindra Latchman, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Sierra Vista, AZ
National Provider Identifier
1184060832
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
56718 Issued in AZ
Practice address
198 S Coronado Dr Ste a
Sierra Vista, AZ 85635
Phone
(520) 220-5020
NPI assigned
May 21, 2013
Last updated
Aug 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036144152 IL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 036144152 IL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 56718 AZ Primary

Addresses

Primary practice location

198 S Coronado Dr Ste a
Sierra Vista, AZ 85635

Mailing address

2160 E Fry Blvd
Ste C-5 PMB 261
Sierra Vista, AZ 85635

Other practice location 1

2 Good Samaritan Way
Mount Vernon, IL 62864-2408
Phone (618) 899-4999

Other practice location 2

2 Good Samaritan Way
Mount Vernon, IL 62864-2408
Phone (618) 899-4999

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
I20180912002965 AZ Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 5193023810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Cancer Care LLCGroup PAC ID 8628328796, 6 clinicians

Practice addresses (Care Compare)

198 S Coronado Dr
Suite a
Sierra Vista, AZ 85635-6357
Phone (520) 220-5020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56718AZMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Cancer Care LLC CurrentSince Jun 7, 2018 Accepting new patients
BSH Health PA Past Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

1100 N F Ave
Douglas, AZ 85607
Phone (520) 364-3285

198 S Coronado Dr
Ste A
Sierra Vista, AZ 85635
Phone (520) 220-5020

2250 El Mercado Loop
Sierra Vista, AZ 85635
Phone (520) 220-5020

901 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 384-3541

Interoperability endpoints

  • Direct secure messaging: andrew.latchman@southwestcancercare.ikm.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Casa de la Paz HospiceSierra Vista, AZ, CCN 031529 Hospice Contracted Managing Employee Mar 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 7

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1184060832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 E FRY BLVD",
            "address_2": "STE C-5 PMB 261",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 S CORONADO DR STE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-220-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Good Samaritan Way",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642408",
            "country_code": "US",
            "telephone_number": "618-899-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Good Samaritan Way",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642408",
            "country_code": "US",
            "telephone_number": "618-899-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATCHMAN",
        "first_name": "ANDREW",
        "middle_name": "NAVINDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036144152",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036144152",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "56718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.