Active NPI
Nicolas Enriquez, M.D.
- Emergency Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R75455
- Practice address
- 6200 N la Cholla Blvd
Tucson, AZ 85741-3529 - Phone
- (520) 229-2657
- NPI assigned
- Apr 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R75455 | AZ | Primary |
Addresses
Primary practice location
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Mailing address
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 476728 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190315000881 | AZ | Practitioner - Emergency Medicine | 9234489295 | Reassigns benefits to 3 organizations |
| I20190826000656 | TX | Practitioner - Emergency Medicine | 9234489295 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Drexel University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chandler Emergency Medical Group LLCDhew Ind HLTH SV HLTH SVS and MNTL HLTH AdmGila River Health Care Corporation
Practice addresses (Care Compare)
1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (954) 939-5000
4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200
483 W Seed Farm Rd
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85147-0038
Phone (602) 528-7100
Hospital & facility affiliations
- Chandler Regional Medical Center
- Mercy Gilbert Medical Center
- Huhu Kam Memorial Hospital
- Phoenix Indian Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.21 of 100
- Quality
- 76.88
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 73.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R75455 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Regional Behavioral Health Authority | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Northwest HBP Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Gila River Health Care | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Progressive Medical Associates PLLC | Emergency Medicine | Current | Accepting new patients |
| Chandler Emergency Medical Group, LLC | Emergency Medicine | Current | Accepting new patients |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
Organizations & group practices 14
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.
-
- Emergency Medicine Physician
- Chandler, AZ
- NPI 1104871961
AZ, Emergency Medicine
-
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
AZ, Emergency Medicine
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1548218613
AZ, Emergency Medicine
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
- NPI 1003083551
-
- Critical Access Hospital
- Sacaton, AZ
- NPI 1225023179
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Laveen, AZ
- NPI 1700867819
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sacaton, AZ
- NPI 1891776902
-
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
-
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
Hospital & facility affiliations 4
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": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1255786455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413529",
"telephone_number": "520-229-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413529",
"telephone_number": "520-229-2657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIQUEZ",
"first_name": "NICOLAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-26",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "R75455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "476728",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.