Individual provider Active NPI

Anthony J Dyer, M.D.

  • Urology Physician
  • Chandler, AZ
National Provider Identifier
1457580425
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
49284 Issued in AZ
Practice address
1455 W Chandler Blvd
Suite B-8
Chandler, AZ 85224-6128
Phone
(480) 899-1696
Fax
(480) 963-6227
NPI assigned
Jul 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 49284 AZ Primary

Addresses

Primary practice location

1455 W Chandler Blvd
Suite B-8
Chandler, AZ 85224-6128

Mailing address

PO Box 6423
Chandler, AZ 85246-6423

Other identifiers 1

IdentifierTypeStateIssuer
906180OtherAZAHCCCS

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
I20140828002540 AZ Practitioner - Urology 2769600998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Arizona College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Physicians PCGroup PAC ID 3577454842, 115 clinicians

Practice addresses (Care Compare)

1455 W Chandler Blvd
Suite 8
Chandler, AZ 85224-6177
Phone (480) 899-1696

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Physicians, PC Urology CurrentSince Aug 1, 2014 Accepting new patients
Ironwood Physicians, PC CurrentSince Aug 1, 2014 Accepting new patients

Locations

1455 W Chandler Blvd
Ste B8
Chandler, AZ 85224
Phone (480) 899-1696

1455 W Chandler Blvd
Ste 8
Chandler, AZ 85224
Phone (480) 899-1696

1501 N Gilbert Rd
Ste 204
Gilbert, AZ 85234
Phone (480) 924-7333

6111 E Arbor Ave
Mesa, AZ 85206
Phone (480) 981-1326

21321 E Ocotillo Rd
Ste 134
Queen Creek, AZ 85142
Phone (480) 899-1696

Organizations & group practices 2

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 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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1457580425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W CHANDLER BLVD",
            "address_2": "SUITE B-8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246128",
            "telephone_number": "480-899-1696",
            "fax_number": "480-963-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "49284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "906180",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.