Active NPI
Charles A Richardson, MD
- Family Medicine Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 41822
- Practice address
- 600 S Dobson Rd
Suite E-39
Chandler, AZ 85224-5678 - Phone
- (480) 777-5888
- Fax
- (480) 777-8996
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Creighton University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Phoenician Medical Center Inc
Practice addresses (Care Compare)
1343 N Alma School Rd
Chandler, AZ 85224-5901
1343 N Alma School Rd
Suite 205
Chandler, AZ 85224-5903
Phone (480) 963-1853
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091002000370 | AZ | Practitioner - Family Practice | 8820182298 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenician Medical Center, Inc | Family Medicine | Current |
Accepting new patients |
| Palo Verde Clinic, PLLC | Past |
Accepting new patients | |
| Phoenician Cardiac Care LLC | Past | Accepting new patients | |
| Modern Foot & Ankle Centers, PLLC | Past |
Accepting new patients | |
| Richardson Family Health Center, P.C. | Past |
Accepting new patients |
Locations
275 E Cottonwood Ln
Ste 3
Casa Grande, AZ 85122
Phone (520) 316-9690
275 E Cottonwood Ln
Casa Grande, AZ 85122
1968 N Peart Rd
Ste 3
Casa Grande, AZ 85122
Phone (480) 930-7606
1343 N Alma School Rd
Ste 205
Chandler, AZ 85224
Phone (480) 722-2588
1343 N Alma School Rd
Chandler, AZ 85224
Phone (623) 572-4545
1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447
6677 W Thunderbird Rd
Ste C142
Glendale, AZ 85306
Phone (623) 247-1081
10720 E Southern Ave
Ste 116
Mesa, AZ 85209
Phone (480) 365-0050
606 N Country Club Dr
Ste 1
Mesa, AZ 85201
Phone (480) 969-3511
10720 E Southern Ave
Ste 109
Mesa, AZ 85209
7550 N 19th Ave
Ste 201
Phoenix, AZ 85021
Phone (602) 973-3100
16515 S 40th St
Ste 139
Phoenix, AZ 85048
Phone (480) 706-0174
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41822 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
600 S Dobson Rd
Suite E-39
Chandler, AZ 85224-5678
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2020.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1215085642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168034",
"telephone_number": "602-470-5000",
"fax_number": "602-470-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S DOBSON RD",
"address_2": "SUITE E-39",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245678",
"telephone_number": "480-777-5888",
"fax_number": "480-777-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "CHARLES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "41822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.