Individual provider Active NPI

John Dyorich

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
National Provider Identifier
1528313798
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0906 Issued in AZ
Practice address
1265 S Aaron Unit 292
Mesa, AZ 85209-3795
Phone
(801) 856-9995
NPI assigned
Jul 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X CRNA0906 AZ Primary

Addresses

Primary practice location

1265 S Aaron Unit 292
Mesa, AZ 85209-3795

Mailing address

1265 S Aaron Unit 292
Mesa, AZ 85209-3795
Phone (801) 856-9995

Other identifiers 1

IdentifierTypeStateIssuer
777581MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130213000088 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365692621 Reassigns benefits to 4 organizations
I20230511000796 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365692621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenician AnesthesiaGroup PAC ID 0042741019, 6 clinicians

Practice addresses (Care Compare)

950 N McQueen Rd
Chandler, AZ 85225-8126
Phone (480) 847-1800

Merit-based Incentive Payment System (MIPS)

Final score
63.31 of 100Reported as group
Quality
74.88
Improvement activities
0
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4279CAMDSchool Psychologist
CRNA0906AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Rock Anesthesia Consultants LLC CurrentSince May 1, 2023 Accepting new patients
Amin, Dunckelmeyer and Luu PLLC CurrentSince Aug 1, 2023 Accepting new patients
Phoenician Anesthesia CurrentSince Sep 4, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 5, 2024 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 22, 2017 Accepting new patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Turlock Anesthesia Medical Group Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

950 N McQueen Rd
Chandler, AZ 85225
Phone (480) 542-7000

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

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

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

2158 N Gilbert Rd
Ste 103
Mesa, AZ 85203
Phone (480) 751-3002

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

1704 W Anklam Rd
Tucson, AZ 85745
Phone (520) 622-5912

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

150 S Nevada Highway 160
Ste 8199
Pahrump, NV 89048
Phone (917) 903-0010

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.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1528313798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 S AARON UNIT 292",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093795",
            "telephone_number": "801-856-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 S AARON UNIT 292",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093795",
            "telephone_number": "801-856-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYORICH",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "777581",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.