Charles Kenneth Requard, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

13725 Issued in AZ

Practice address

5515 E 5TH St
C/O Arizona Community Physicians
Tucson, AZ 85711-2415

Phone

(520) 298-1138

Fax

(520) 547-5959

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Diagnostic Radiology

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology and Imaging Specialists of LakelandGroup PAC ID 2264422294, 70 clinicians

Manatee Memorial Hospital L PGroup PAC ID 2062309164, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
• Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157
• Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score

86.74 of 100Reported as group

Quality

85

Improvement activities

40

Cost

74.49

Merit-based Incentive Payment System (MIPS)

Final score

71.5 of 100Reported as group

Quality

66.47

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 30)

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Manatee Memorial Hospital L P

  • Other Specialist/Technologist
  • Bradenton, FL
  • NPI 1770505687
  Medicare reassignment Care Compare group NPD
• Radiology & Imaging Specialists of Lakeland

  • Diagnostic Radiology Physician
  • Lakeland, FL
  • NPI 1427049931
  Medicare reassignment Care Compare group NPD
• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Valrico, FL
  • NPI 1417423377
  Medicare reassignment NPD
• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Plant City, FL
  • NPI 1376238642
  NPD
• Manatee Memorial Hospital L P

  • Radiology Clinic/Center
  • Bradenton, FL
  • NPI 1558020552
  NPD
• Manatee Memorial Hospital LP

  • Body Imaging Physician
  • Bradenton, FL
  • NPI 1821458829
  NPD
• Radiology & Imaging Specialists of Lakeland, PA

  • Diagnostic Radiology Physician
  • Lakeland, FL
  • NPI 1649543992
  NPD
• Franklin & Seidelmann Inc

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1972539245
  NPD (past)
• Radia Inc P S

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1932196607
  NPD (past)
• Radiology & Imaging Specialists of Lakeland, PA

  • Vascular & Interventional Radiology Physician
  • Lakeland, FL
  • NPI 1063032993

  Diagnostic Radiology

  NPD (past)
• Radiology & Imaging Specialists of Lakeland, PA

  • Diagnostic Radiology Physician
  • Kissimmee, FL
  • NPI 1124530761
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lakeland Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Lakeland, FL
  • NPI 1144228446
  Care Compare affiliation
• Lakewood Ranch Medical Center

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1730179714
  Care Compare affiliation
• Manatee Memorial Hospital L P

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1760472799
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1851315519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 N CORTE EL RANCHO MERLITA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154493",
            "telephone_number": "520-780-1281",
            "fax_number": "520-547-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 E 5TH ST",
            "address_2": "C/O ARIZONA COMMUNITY PHYSICIANS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112415",
            "telephone_number": "520-298-1138",
            "fax_number": "520-547-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REQUARD",
        "first_name": "CHARLES",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "13725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8552002",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Renteria, CRNA
• Mellisa Renee Renteria
• David Repath
• Jessica Nuestro Repolda
• Reproductive Health Center
• Timothy Rerucha-Miller
• Rescare Arizona, Inc.
• Rescare Arizona, Inc.
• Rescare Arizona, Inc.
• Rescare Arizona, Inc.

• Diagnostic Radiology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.

Verify at the official NPI Registry.