NPIMap

Individual provider Active NPI

Robert Matthew Tognacci, DO

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1669404711
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4136 Issued in AZ
Practice address
3960 E Riggs Rd Ste 1
Chandler, AZ 85249-5411
Phone
(480) 786-4441
Fax
(480) 786-4609
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4136 AZ Primary

Addresses

Primary practice location

3960 E Riggs Rd Ste 1
Chandler, AZ 85249-5411

Mailing address

3960 E Riggs Rd Ste 1
Chandler, AZ 85249-5411
Phone (480) 786-4441

Other identifiers 1

IdentifierTypeStateIssuer
116825MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060825000204 AZ Practitioner - Family Practice 2860495256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grand Canyon Family Medicine PCGroup PAC ID 5294839940, 4 clinicians

Practice addresses (Care Compare)

3960 E Riggs Rd
Suite 1
Chandler, AZ 85249-5411
Phone 4807864441407

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions76
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4136AZMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Canyon Family Medicine PC Family Medicine CurrentSince Nov 1, 2006 Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Foot Ankle Specialty Centers, LLC PastSince Nov 1, 2006 Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients

Locations

3950 E Riggs Rd
Ste 2
Chandler, AZ 85249
Phone (480) 786-4441

3960 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone 4807864441 ext. 403

Organizations & group practices 11

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 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1669404711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 E RIGGS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495411",
            "telephone_number": "480-786-4441",
            "fax_number": "480-786-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 E RIGGS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495411",
            "telephone_number": "480-786-4441",
            "fax_number": "480-786-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOGNACCI",
        "first_name": "ROBERT",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116825",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.