Individual provider Active NPI

Ryan K Bartz, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Chandler, AZ
National Provider Identifier
1831606995
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7016 Issued in AZ
Practice address
2161 E Pecos Rd Ste 1
Chandler, AZ 85225-6131
Phone
(602) 753-2663
Fax
(480) 247-2479
NPI assigned
Jan 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7016 AZ Primary

Addresses

Primary practice location

2161 E Pecos Rd Ste 1
Chandler, AZ 85225-6131

Mailing address

250 E Ray Rd Apt 3011
Chandler, AZ 85225-2036
Phone (815) 540-5875

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180214002822 AZ Practitioner - Physician Assistant 6608136593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona State OrthopaedicsGroup PAC ID 2163683822, 3 clinicians

Practice addresses (Care Compare)

2161 E Pecos Rd
Suite 1
Chandler, AZ 85225-6131
Phone (602) 753-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1831606995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E RAY RD APT 3011",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252036",
            "telephone_number": "815-540-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 E PECOS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256131",
            "telephone_number": "602-753-2663",
            "fax_number": "480-247-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTZ",
        "first_name": "RYAN",
        "middle_name": "K",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.