Active NPI
Charles Krischer, M.D.
- General Practice Physician
- Sun City, AZ
National Provider Identifier
1336307123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14492
- Practice address
- 19001 N 99TH Dr
Sun City, AZ 85373-1302 - Phone
- (623) 815-0593
- NPI assigned
- May 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 14492 | AZ | |
| General Practice Physician | 208D00000X | 14492 | AZ | Primary |
| General Practice Physician | 208D00000X | 17032 | NE | |
| General Practice Physician | 208D00000X | 01033275A | IN |
Addresses
Primary practice location
19001 N 99TH Dr
Sun City, AZ 85373-1302
Mailing address
19001 N 99TH Dr
Sun City, AZ 85373-1302
Phone (623) 815-0593
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160407001537 | AZ | Order and Referring Only - Ophthalmology | 1557669595 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01033275A | IN | MD | General Practice Physician |
| 17032 | NE | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1336307123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19001 N 99TH DR",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853731302",
"telephone_number": "623-815-0593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19001 N 99TH DR",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853731302",
"telephone_number": "623-815-0593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISCHER",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "14492",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "14492",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "17032",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01033275A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.