Individual provider Active NPI

Ronald J Hauptman, MD

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1699779074
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21316 Issued in AZ
Practice address
9250 N 3Rd St
#2015
Phoenix, AZ 85020-2437
Phone
(602) 279-3575
Fax
(602) 279-2666
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21316 AZ Primary

Addresses

Primary practice location

9250 N 3Rd St
#2015
Phoenix, AZ 85020-2437

Mailing address

3020 E Camelback Rd
Ste 301
Phoenix, AZ 85016-4418
Phone (602) 264-9100

Other identifiers 2

IdentifierTypeStateIssuer
78697301MedicaidAZ
110639OtherAZMEDICARE PIN NUMBER FOR N

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
I20100915000393 AZ Practitioner - Gastroenterology 6901800499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Medical College of Wisconsin, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

9250 N 3Rd St
Suite 4035
Phoenix, AZ 85020-2434
Phone (602) 279-3575

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Merit-based Incentive Payment System (MIPS)

Final score
81.75 of 100Reported as group
Quality
60.45
Promoting interoperability
97
Improvement activities
40
Cost
81.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy179
Upper gastrointestinal (GI) endoscopy for acid reflux171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Digestive Health, PC Gastroenterology CurrentSince Jan 1, 2012 Accepting new patients

Locations

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

9100 N 2nd St
Ste 213
Phoenix, AZ 85020
Phone (602) 216-0885

3815 E Bell Rd
Ste 2500
Phoenix, AZ 85032
Phone (602) 258-4321

3815 E Bell Rd
Ste 1250
Phoenix, AZ 85032
Phone (602) 493-3030

3707 N 7th St
Ste 200
Phoenix, AZ 85014
Phone (602) 264-9100

3020 E Camelback Rd
Ste 301
Phoenix, AZ 85016

9250 N 3rd St
Ste 4035
Phoenix, AZ 85020
Phone (602) 279-3575

9250 N 3rd St
Ste 2015
Phoenix, AZ 85020
Phone (602) 562-3010

Organizations & group practices 1

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 2

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1699779074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 E CAMELBACK RD",
            "address_2": "STE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164418",
            "telephone_number": "602-264-9100",
            "fax_number": "602-264-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "#2015",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "602-279-3575",
            "fax_number": "602-279-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUPTMAN",
        "first_name": "RONALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "21316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78697301",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN NUMBER FOR N",
            "identifier": "110639",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.