Individual provider Active NPI

Bryan Anthony Ficarra Jr., DO

  • Anesthesiology Physician
  • Glendale, AZ
National Provider Identifier
1376519694
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
005269 Issued in AZ
Practice address
18205 N 51St Ave Ste 109
Glendale, AZ 85308-1491
Phone
(937) 320-9400
Fax
(937) 427-5691
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 005269 AZ Primary

Addresses

Primary practice location

18205 N 51St Ave Ste 109
Glendale, AZ 85308-1491

Mailing address

18205 N 51St Ave Ste 109
Glendale, AZ 85308-1491
Phone (937) 293-0247

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124000075 AZ Practitioner - Anesthesiology 2264433119 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Battle Born Anesthesia Associates LTDGroup PAC ID 5193235141, 26 clinicians
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians
Anesthesia Partners of Arizona LLCGroup PAC ID 8628317179, 85 clinicians

Practice addresses (Care Compare)

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (917) 903-0010

4605 E Elwood St
Suite 500
Phoenix, AZ 85040-1978
Phone (602) 200-9021

Hospital & facility affiliations

  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc CurrentSince Apr 1, 2020 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Kingman Healthcare, Inc CurrentSince Apr 1, 2020 Accepting new patients
Battle Born Anesthesia Associates LTD Anesthesiology CurrentSince Jan 10, 2026 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Mont Green Anesthesiology Inc Anesthesiology Past Accepting new patients
Sunrise Ambulatory Surgical Center LLC Past Accepting new patients

Locations

7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001

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

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

3880 N Stockton Hill Rd
Ste 103147
Kingman, AZ 86409
Phone (702) 518-6362

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

240 W Thomas Rd
Phoenix, AZ 85013
Phone (602) 406-3552

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1376519694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE STE 109",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081491",
            "telephone_number": "937-293-0247",
            "fax_number": "602-547-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE STE 109",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081491",
            "telephone_number": "937-320-9400",
            "fax_number": "937-427-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICARRA",
        "first_name": "BRYAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "005269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.