Individual provider Active NPI

Charles A Richardson, MD

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1215085642
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41822 Issued in AZ
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

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.

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 (36 clinicians)

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 IDStateProvider typePAC IDDetails
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenician Medical Center, Inc Family Medicine Current
since Oct 1, 2020
Accepting new patients
Palo Verde Clinic, PLLC Past
since Nov 8, 2004
Accepting new patients
Phoenician Cardiac Care LLC Past Accepting new patients
Modern Foot & Ankle Centers, PLLC Past
since May 1, 2020
Accepting new patients
Richardson Family Health Center, P.C. Past
since Jul 1, 2001
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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41822 AZ Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.