Active NPI
Robert T. Fukuchi, MD
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1831107481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 6532
- Practice address
- 350 W Thomas Rd
St. Joseph'S Hospital
Phoenix, AZ 85013-4409 - Phone
- (602) 406-3000
- Fax
- (602) 406-7165
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6532 | AZ | Primary |
Addresses
Primary practice location
350 W Thomas Rd
St. Joseph'S Hospital
Phoenix, AZ 85013-4409
Mailing address
1241 W Mineral Ave
Suite 100
Littleton, CO 80120-5685
Phone (303) 759-0854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 294877 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6532 | AZ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Emergency Physicians, PC | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1730112830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1831107481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 W MINERAL AVE",
"address_2": "SUITE 100",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801205685",
"telephone_number": "303-759-0854",
"fax_number": "303-759-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W THOMAS RD",
"address_2": "ST. JOSEPH'S HOSPITAL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134409",
"telephone_number": "602-406-3000",
"fax_number": "602-406-7165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUKUCHI",
"first_name": "ROBERT",
"middle_name": "T.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "6532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "294877",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.