Organization Active NPI

Ainsworth Consulting Group LLC

  • Point of Service
  • Chandler, AZ
National Provider Identifier
1780763243
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
AINSWORTH CONSULTING GROUP LLC
Practice address
2175 N Alma School Road
Suite C104
Chandler, AZ 85224-2879
Phone
(480) 222-6770
Fax
(480) 222-6771
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Mr. James A Ainsworth
Title
Sole Member
Phone
(480) 792-0352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

2175 N Alma School Road
Suite C104
Chandler, AZ 85224-2879

Mailing address

2175 N Alma School Road
Suite C104
Chandler, AZ 85224-2879
Phone (480) 222-6770

Other identifiers 5

IdentifierTypeStateIssuer
F15836OtherAZPHOENIX HEALTH PLAN ID
630467MedicaidAZ
447171MedicaidAZ
2Z4296OtherAZHEALTHNET IDENTIFIER
726672MedicaidAZ

Other names 1

  • Bethesda Pediatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210401001836 AZ Part B Supplier - Clinic/Group Practice 2163839408 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1780763243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 N ALMA SCHOOL ROAD",
            "address_2": "SUITE C104",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242879",
            "telephone_number": "480-222-6770",
            "fax_number": "480-222-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 N ALMA SCHOOL ROAD",
            "address_2": "SUITE C104",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242879",
            "telephone_number": "480-222-6770",
            "fax_number": "480-222-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AINSWORTH CONSULTING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "AINSWORTH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "480-792-0352",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHOENIX HEALTH PLAN ID",
            "identifier": "F15836",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630467",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447171",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET IDENTIFIER",
            "identifier": "2Z4296",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "726672",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.