Individual provider Active NPI

Richard A Ayiyi Jr., FNP-C

  • Family Medicine Physician
  • Buckeye, AZ
National Provider Identifier
1689301293
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
278626 Issued in AZ
Practice address
23556 W Huntington Dr
Buckeye, AZ 85326-7260
Phone
(480) 694-0018
NPI assigned
Aug 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 278626 AZ Primary

Addresses

Primary practice location

23556 W Huntington Dr
Buckeye, AZ 85326-7260

Mailing address

23556 W Huntington Dr
Buckeye, AZ 85326-7260
Phone (480) 694-0018

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
I20221116003313 AZ Practitioner - Nurse Practitioner 6305214677 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
13.52 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
45.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
278626AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Able Homes LLC CurrentSince Mar 30, 2025 Accepting new patients
Ternion Physician Group, PLLC Nurse Practitioner CurrentSince Sep 18, 2022 Accepting new patients
Alliance Medical Clinic, LLC CurrentSince Sep 23, 2022 Accepting new patients
Watson Woods Healthcare, Inc. Past Accepting new patients

Locations

3655 W Anthem Way
Ste A109
Anthem, AZ 85086
Phone (623) 505-4479

800 W University Ave
Flagstaff, AZ 86001
Phone (928) 779-6931

4704 W Diana Ave
Glendale, AZ 85302
Phone (623) 247-3949

13215 N 94th Dr
Peoria, AZ 85381
Phone (310) 270-6181

42104 N Venture Dr
Ste D118
Phoenix, AZ 85086
Phone (623) 505-4479

1045 Scott Dr
Prescott, AZ 86301
Phone (928) 717-1560

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8857/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1689301293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23556 W HUNTINGTON DR",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853267260",
            "telephone_number": "480-694-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23556 W HUNTINGTON DR",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853267260",
            "telephone_number": "480-694-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYIYI",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "278626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.