Individual provider Active NPI

Richard D Oh, MD

  • Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1477521912
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35956 Issued in AZ
Practice address
3367 S. Mercy Rd
#210
Gilbert, AZ 85297
Phone
(480) 969-4138
Fax
(480) 969-0630
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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 35956 AZ Primary

Addresses

Primary practice location

3367 S. Mercy Rd
#210
Gilbert, AZ 85297

Mailing address

2945 S Dobson Rd
Mesa, AZ 85202-7941
Phone (480) 969-4138

Other practice location 1

2945 S Dobson Rd
Mesa, AZ 85202-7980
Phone (480) 969-4138

Other identifiers 2

IdentifierTypeStateIssuer
8355885MedicaidWA
127336MedicaidAZ

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
I20060926000030 AZ Practitioner - General Surgery 5395740351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Advanced Surgery LLC Surgery CurrentSince Apr 1, 2020 Accepting new patients

Locations

485 S Dobson Rd
Ste 115
Chandler, AZ 85224
Phone (480) 245-4425

3367 S Mercy Rd
Ste 210
Gilbert, AZ 85297
Phone (480) 850-2098

2945 S Dobson Rd
Mesa, AZ 85202
Phone (480) 699-2508

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

Interoperability endpoints

  • Direct secure messaging: roh@direct.uspi.com
  • Direct secure messaging: richard.oh.1@5919.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1477521912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027941",
            "telephone_number": "480-969-4138",
            "fax_number": "480-969-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 S. MERCY RD",
            "address_2": "#210",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "480-969-4138",
            "fax_number": "480-969-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 S Dobson Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852027980",
            "country_code": "US",
            "telephone_number": "480-969-4138",
            "fax_number": "480-969-0630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OH",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "35956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8355885",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127336",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.