Active NPI
Heather Anne Cucchetti, D.O.
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 005713
- Practice address
- 4400 N 32ND St Ste 110
Phoenix, AZ 85018-3961 - Phone
- (602) 956-9595
- Fax
- (602) 956-3232
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 005713 | AZ | Primary |
Addresses
Primary practice location
4400 N 32ND St Ste 110
Phoenix, AZ 85018-3961
Mailing address
4400 N 32ND St Ste 110
Phoenix, AZ 85018-3961
Phone (602) 956-9595
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 754844 | Medicaid | AZ | |
| Z156811 | Other | AZ | MEDICARE PIN- PIMA COUNTY |
| Z156810 | Other | AZ | MEDICARE UPIN- PINAL COUNTY |
Other names 1
- Dr. Heather Anne Ingram
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4400 N 32ND St
Suite 110
Phoenix, AZ 85018-3964
Phone (602) 956-9595
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005713 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny View Medical Center PLLC | Family Medicine | Current | Accepting new patients |
| Sunny View Medical Center, PLLC | Current | Accepting new patients |
Locations
4400 N 32nd St
Ste 110
Phoenix, AZ 85018
Phone (602) 956-9595
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 and National Provider Directory roles.
-
- Chiropractor
- Phoenix, AZ
- NPI 1053684498
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
dba HonorHealth John C. Lincoln Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1265571665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 N 32ND ST STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850183961",
"telephone_number": "602-956-9595",
"fax_number": "602-956-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 N 32ND ST STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850183961",
"telephone_number": "602-956-9595",
"fax_number": "602-956-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUCCHETTI",
"first_name": "HEATHER",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "005713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "754844",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN- PIMA COUNTY",
"identifier": "Z156811",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE UPIN- PINAL COUNTY",
"identifier": "Z156810",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "INGRAM",
"middle_name": "ANNE",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.