Active NPI
Richard A Ayiyi Jr., FNP-C
- Family Medicine Physician
- Buckeye, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 278626
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221116003313 | AZ | Practitioner - Nurse Practitioner | 6305214677 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 13.52 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 278626 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Able Homes LLC | Current | Accepting new patients | |
| Ternion Physician Group, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Alliance Medical Clinic, LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Anthem, AZ
- NPI 1013466192
AZ, Nurse Practitioner
-
- In Home Supportive Care Agency
- Buckeye, AZ
- NPI 1366244287
-
- Skilled Nursing Facility
- Prescott, AZ
- NPI 1548640840
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.