Individual provider Active NPI

Charles Irwin Hecht, M.D.

  • Surgery Physician
  • Sun City West, AZ
National Provider Identifier
1457358608
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
11951 Issued in AZ
Practice address
19424 N R H Johnson Blvd
Suite 101
Sun City West, AZ 85375-1409
Phone
(602) 568-7114
Fax
(623) 388-6237
NPI assigned
Jul 2, 2005
Last updated
Aug 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 11951 AZ Primary

Addresses

Primary practice location

19424 N R H Johnson Blvd
Suite 101
Sun City West, AZ 85375-1409

Mailing address

PO Box 39179
Phoenix, AZ 85069-9179
Phone (602) 395-0718

Other identifiers 1

IdentifierTypeStateIssuer
211475MedicaidAZ

Other names 1

  • Dr. Charles Irwin Hecht Professional name

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
I20040520000019 AZ Practitioner - General Surgery 4587655485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kulbhushan K Sharma MD PCGroup PAC ID 2365691680, 5 clinicians

Practice addresses (Care Compare)

13065 W McDowell Rd
Suite A103
Avondale, AZ 85392-6440
Phone (602) 298-5476

5620 W Thunderbird Rd
D2
Glendale, AZ 85306-4636
Phone (602) 547-2690

5620 W Thunderbird Rd
Suite D2
Glendale, AZ 85306-4640

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11951AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kulbhushan K. Sharma MD, PC CurrentSince Dec 1, 2014 Accepting new patients
Sun Medical Group Past Accepting new patients
Sun Seniors Inc Past Accepting new patients

Locations

13065 W McDowell Rd
Ste A103
Avondale, AZ 85392
Phone (602) 547-1623

5620 W Thunderbird Rd
Ste D2
Glendale, AZ 85306
Phone (602) 547-2690

10250 N 92nd St
Ste 203
Scottsdale, AZ 85258
Phone (480) 614-0460

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1120262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1457358608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39179",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850699179",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19424 N R H JOHNSON BLVD",
            "address_2": "SUITE 101",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853751409",
            "telephone_number": "602-568-7114",
            "fax_number": "623-388-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECHT",
        "first_name": "CHARLES",
        "middle_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-02",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "11951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211475",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "HECHT",
            "middle_name": "IRWIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.