Individual provider Active NPI

Rick E Mishler, M.D.

  • Nephrology Physician
  • Phoenix, AZ
National Provider Identifier
1629071303
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
14794 Issued in AZ
Practice address
3320 N 2ND St
Phoenix, AZ 85012
Phone
(602) 200-8288
Fax
(602) 200-8627
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 14794 AZ Primary

Addresses

Primary practice location

3320 N 2ND St
Phoenix, AZ 85012

Mailing address

6622 N 91St Ave Ste 220
Glendale, AZ 85305-2569
Phone (602) 759-6883

Other identifiers 1

IdentifierTypeStateIssuer
240763MedicaidAZ

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
I20040730000071 AZ Practitioner - Nephrology 2668442260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
67.68
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14794AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
Evac LLC Nephrology CurrentSince Aug 15, 2008 Accepting new patients
Akdhc, LLC Nephrology CurrentSince Oct 1, 1999 Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology CurrentSince Oct 1, 1999 Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Northwest Tucson Dialysis LLC Past Accepting new patients

Locations

967 Hancock Rd
Ste 25
Bullhead City, AZ 86442
Phone (800) 545-7836

2580 Highway 95
Ste 224
Bullhead City, AZ 86442
Phone (928) 704-7011

2771 Silver Creek Rd
Ste 120
Bullhead City, AZ 86442
Phone (928) 763-7722

2121 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 846-0607

1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381

2394 N Alma School Rd
Ste 1
Chandler, AZ 85224
Phone (480) 963-0700

2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460

77 W Forest Ave
Ste 302
Flagstaff, AZ 86001
Phone (928) 213-9460

6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668

6622 N 91st Ave
Ste 100
Glendale, AZ 85305
Phone (623) 547-4668

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

333 W Hatcher Rd
Phoenix, AZ 85021
Phone (602) 943-1231

3333 E Camelback Rd
Ste 180
Phoenix, AZ 85018
Phone (602) 997-0484

3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015

3330 N 2nd St
Ste 206
Phoenix, AZ 85012
Phone (602) 279-7871

3320 N 2nd St
Phoenix, AZ 85012
Phone (602) 200-8288

4620 N 16th St
Ste 200
Phoenix, AZ 85016
Phone (480) 616-2822

3122 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-7632

700 E Broadway Blvd
Ste 100
Tucson, AZ 85719
Phone (520) 327-6265

2945 W Ina Rd
Ste 105
Tucson, AZ 85741
Phone (520) 797-0049

1704 W Anklam Rd
Ste 107
Tucson, AZ 85745
Phone (502) 622-5912

2850 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 313-8446

2543 S Bruce St
Ste 200
Las Vegas, NV 89169
Phone (702) 732-2438

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1629071303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE STE 220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N 2ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "602-200-8288",
            "fax_number": "602-200-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHLER",
        "first_name": "RICK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "14794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240763",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.