Individual provider Active NPI

Traci Pritchard, M.D.

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1326006586
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
30359 Issued in AZ
Practice address
4212 N 16TH St
Phoenix, AZ 85016-5319
Phone
(602) 263-1200
Fax
(602) 263-1619
NPI assigned
May 3, 2006
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 30359 AZ Primary

Addresses

Primary practice location

4212 N 16TH St
Phoenix, AZ 85016-5319

Mailing address

PO Box 8037
Cave Creek, AZ 85327-8037

Other practice location 1

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000

Other identifiers 3

IdentifierTypeStateIssuer
1Z7049OtherAZHEALTHNET
699473OtherAZAHCCCS
AZ0324990OtherAZBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040614000968 AZ Practitioner - Diagnostic Radiology 2365426863 Reassigns benefits to 2 organizations
I20200416001221 UT Practitioner - Diagnostic Radiology 2365426863 Reassigns benefits to 1 organization
I20240227000636 TX Practitioner - Diagnostic Radiology 2365426863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rush Medical College of Rush University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jun 28, 2020 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jan 15, 2024 Accepting new patients
Quality Medical Imaging of Arizona, Inc CurrentSince Aug 23, 2023 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jan 15, 2024 Accepting new patients
Tooele Valley Imaging, LLC CurrentSince Oct 1, 2020 Accepting new patients
Arizona Diagnostic & Surgical Center, Inc Past Accepting new patients
P.E.T. Scan Arizona LLC Past Accepting new patients
Paradise Valley Family Medicine, PC PastSince Jan 1, 2001 Accepting new patients
Metropolitan Advanced Radiological Services, LTD. Diagnostic Radiology Past Accepting new patients

Locations (25 of 28)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

3645 S Rome St
Ste 101
Gilbert, AZ 85297

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

20940 N Tatum Blvd
Ste 390
Phoenix, AZ 85050
Phone (480) 407-0060

2222 E Highland Ave
Ste 120
Phoenix, AZ 85016
Phone (602) 977-1177

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

10290 N 92nd St
Ste 100
Scottsdale, AZ 85258
Phone (480) 583-8120

20201 N Scottsdale Healthcare Dr
Ste 190
Scottsdale, AZ 85255

20401 N 73rd St
Ste 145
Scottsdale, AZ 85255

33755 N Scottsdale Rd
Ste 120
Scottsdale, AZ 85266
Phone (480) 595-8900

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

3621 N Wells Fargo Ave
Ste Radiology
Scottsdale, AZ 85251

6501 E Greenway Pkwy
Ste 160
Scottsdale, AZ 85254
Phone (480) 365-6603

7301 E 2nd St
Ste 114
Scottsdale, AZ 85251

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCHBA

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1326006586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8037",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853278037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-263-1200",
            "fax_number": "602-263-1619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-344-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "TRACI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "30359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z7049",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "699473",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0324990",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.