Individual provider Active NPI

Richard Pleva, M.D.

  • Gastroenterology Physician
  • Prescott, AZ
National Provider Identifier
1194700914
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
28809 Issued in AZ
Practice address
5350 Distinction Way
Prescott, AZ 86301-8418
Phone
(928) 445-4066
Fax
(928) 445-4345
NPI assigned
Dec 14, 2005
Last updated
Nov 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 28809 AZ Primary

Addresses

Primary practice location

5350 Distinction Way
Prescott, AZ 86301-8418

Mailing address

PO Box 11654
Prescott, AZ 86304-1654
Phone (928) 445-4066

Other identifiers 1

IdentifierTypeStateIssuer
567464MedicaidAZ

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
I20051201000502 AZ Practitioner - Gastroenterology 0941285159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5350 Distinction Way
Prescott, AZ 86301-8418
Phone (928) 445-4066

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy348
Upper gastrointestinal (GI) endoscopy for acid reflux208

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Pleva Gastroenterology CurrentSince Jan 1, 2006 Accepting new patients
Tri City Surgery Center LLC Current Accepting new patients
Tri-City Gastroenterology PLC Gastroenterology CurrentSince Aug 18, 2019 Accepting new patients

Locations

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

5350 Distinction Way
Prescott, AZ 86301
Phone (928) 445-4066

17210 E Roadrunner Rd
Spring Valley, AZ 86333
Phone (928) 632-9017

Interoperability endpoints

  • Direct secure messaging: richardpleva@dds.allscriptsdirect.net

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, 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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1194700914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11654",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863041654",
            "telephone_number": "928-445-4066",
            "fax_number": "928-445-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 DISTINCTION WAY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863018418",
            "telephone_number": "928-445-4066",
            "fax_number": "928-445-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEVA",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "28809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "567464",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.