Individual provider Active NPI

Craig Loren Mechelke, D.O.

  • Obstetrics & Gynecology Physician
  • Gilbert, AZ
National Provider Identifier
1700878964
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1673 Issued in AZ
Practice address
1760 E Pecos Rd Ste 235
Gilbert, AZ 85295-3207
Phone
(480) 813-0944
Fax
(480) 813-0038
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1673 AZ Primary

Addresses

Primary practice location

1760 E Pecos Rd Ste 235
Gilbert, AZ 85295-3207

Mailing address

1760 E Pecos Rd Ste 235
Gilbert, AZ 85295-3207
Phone (480) 813-0944

Other identifiers 1

IdentifierTypeStateIssuer
227620MedicaidAZ

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
I20050929000590 AZ Practitioner - Obstetrics/Gynecology 8426083353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

11209 N Tatum Blvd
Suite 255
Phoenix, AZ 85028-6025
Phone (602) 494-5050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1673AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis OB GYN PLLC Obstetrics & Gynecology CurrentSince Nov 25, 2024 Accepting new patients
Comprehensive Womens Healthcare PLLC Obstetrics & Gynecology CurrentSince Jul 16, 2019 Accepting new patients
Natural Hormone Treatment Center and Aesthetics LLC Obstetrics & Gynecology PastSince May 1, 2023 Accepting new patients
Camelback Womens Health, PC Obstetrics & Gynecology PastSince Sep 15, 2000 Accepting new patients
Banner Gateway Medical Center Past Accepting new patients
Southeast Valley Obstetrics & Gynecology PLC Obstetrics & Gynecology PastSince Nov 16, 2011 Accepting new patients

Locations

1760 E Pecos Rd
Ste 235
Gilbert, AZ 85295
Phone (480) 728-3535

1760 E Pecos Rd
Ste 207
Gilbert, AZ 85295
Phone (480) 813-0944

201 W Guadalupe Rd
Ste 310
Gilbert, AZ 85233
Phone (480) 813-0944

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

11209 N Tatum Blvd
Ste 255
Phoenix, AZ 85028
Phone (602) 494-5050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/615/brand/1/csg/1/fhir/r4
  • Direct secure messaging: craig.mechelke.1@19050.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1700878964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E PECOS RD STE 235",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953207",
            "telephone_number": "480-813-0944",
            "fax_number": "480-813-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E PECOS RD STE 235",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953207",
            "telephone_number": "480-813-0944",
            "fax_number": "480-813-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHELKE",
        "first_name": "CRAIG",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "1673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227620",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.