Active NPI
Ryan K Bartz, PHYSICIAN ASSISTANT
- Physician Assistant
- Chandler, AZ
National Provider Identifier
1831606995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7016
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Orthopaedics
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.