Individual provider Active NPI

Stuart Alan Richards, PA-C

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1609824739
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AZ1422 Issued in AZ
Practice address
US Dept of State Med Q1 Sa 1
Washington, DC 20522-0102
Phone
(202) 663-1519
Fax
(202) 663-3247
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AZ1422 AZ Primary

Addresses

Primary practice location

US Dept of State Med Q1 Sa 1
Washington, DC 20522-0102

Mailing address

2952 N Ellis St
Chandler, AZ 85224-1774
Phone (480) 759-4901

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051123000381 AZ Practitioner - Physician Assistant 4880614668 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AZ1422AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Express Care, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Med 97 LLC Past Accepting new patients
Casa Grande Emergency Physicians PLLC Past Accepting new patients
Center for Physical Medicine & Rehabilitation P C Past Accepting new patients

Locations

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

2423 W Dunlap Ave
Ste 150
Phoenix, AZ 85021
Phone (602) 216-6862

2301 N 44th St
Phoenix, AZ 85008
Phone (602) 808-8786

3302 W Thomas Rd
Ste 10
Phoenix, AZ 85017
Phone (602) 233-2900

1804 W Elliot Rd
Tempe, AZ 85284
Phone (480) 456-0444

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

Interoperability endpoints

  • Direct secure messaging: stuart.richardspac.p1@direct.nextcare.nextgenshare.com

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1609824739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 N ELLIS ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241774",
            "telephone_number": "480-759-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US DEPT OF STATE MED Q1 SA 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205220102",
            "telephone_number": "202-663-1519",
            "fax_number": "202-663-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "STUART",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "AZ1422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.