Organization Active NPI

Richard Pleva

  • Gastroenterology Physician
  • Prescott, AZ
National Provider Identifier
1285824664
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
RICHARD PLEVA
Practice address
5350 Distinction Way
Prescott, AZ 86301-8418
Phone
(928) 445-4066
Fax
(928) 445-4345
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Dr. Richard Pleva, MDNPI 1194700914
Title
President
Phone
(928) 445-4066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 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 names 1

  • DIGESTIVE DISEASE SPECIALISTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001629 AZ Part B Supplier - Clinic/Group Practice 8820073109 Receives reassigned benefits from 2 practitioners
Practice locations: Prescott, AZ

National Provider Directory

National Provider Directory

Locations

1001 Division St
Ste A
Prescott, AZ 86301
Phone (520) 776-0601

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1285824664",
    "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": {
        "organization_name": "RICHARD PLEVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "PLEVA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-445-4066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIGESTIVE DISEASE SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.