Individual provider Active NPI

Fred H Cucher, MD

  • Cardiovascular Disease Physician
  • Glendale, AZ
National Provider Identifier
1861488298
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12174 Issued in AZ
Practice address
5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306-1870
Phone
(602) 298-7777
Fax
(623) 930-6060
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 12174 AZ Primary

Addresses

Primary practice location

5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306-1870

Mailing address

PO Box 52886
Phoenix, AZ 85072-2886
Phone (602) 298-7777

Other practice location 1

140 N Litchfield Rd Ste 104
Goodyear, AZ 85338-1277
Phone (602) 298-7777 ext. 128

Other practice location 2

20542 N Lake Pleasant Rd Ste 105
Peoria, AZ 85382
Phone (602) 298-7777 ext. 128

Other practice location 3

525 S Watson Rd Ste 205
Buckeye, AZ 85326-3451
Phone (602) 298-7777 ext. 128

Other identifiers 2

IdentifierTypeStateIssuer
210783MedicaidAZ
Z212195OtherAZMEDICARE PTAN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080228000370 AZ Practitioner - Cardiovascular Disease (Cardiology) 7810086444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12174AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development of West Phoenix Inc Cardiovascular Disease CurrentSince Nov 1, 2007 Accepting new patients
Phoenix Heart, PLLC Cardiovascular Disease CurrentSince Sep 1, 1999 Accepting new patients
Phoenix Heart, PLLC CurrentSince Sep 1, 1999 Accepting new patients
VHS of Phoenix Inc Cardiovascular Disease Past Accepting new patients
VHS of Arrowhead Inc Cardiovascular Disease Past Accepting new patients

Locations

10320 W McDowell Rd
Ste N1445
Avondale, AZ 85392
Phone (623) 547-2100

13055 W McDowell Rd
Ste E101
Avondale, AZ 85392
Phone (480) 515-0900

19251 E Oasis Dr
Black Cyn Cty, AZ 85324
Phone (602) 298-7777

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306
Phone (602) 298-7777

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

4425 W Olive Ave
#200
Glendale, AZ 85302
Phone (623) 930-6000

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

140 N Litchfield Rd
Ste 104
Goodyear, AZ 85338
Phone (480) 478-0444

20542 N Lake Pleasant Rd
Peoria, AZ 85382
Phone (623) 572-9090

20542 N Lake Pleasant Rd
Ste 105
Peoria, AZ 85382
Phone (602) 753-2700

2222 E Highland Ave
Ste 225
Phoenix, AZ 85016
Phone (602) 298-7777

41818 N Venture Dr
Ste 110
Phoenix, AZ 85086
Phone (602) 298-7777

10293 N 92nd St
Ste 100
Scottsdale, AZ 85258
Phone (480) 747-6535

20 Burton Hills Blvd
Ste 100
Nashville, TN 37215
Phone (860) 501-7908

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1861488298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52886",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722886",
            "telephone_number": "602-298-7777",
            "fax_number": "623-930-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 W TALAVI BLVD",
            "address_2": "STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061870",
            "telephone_number": "602-298-7777",
            "fax_number": "623-930-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 N Litchfield Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853381277",
            "country_code": "US",
            "telephone_number": "602-298-7777 x128",
            "fax_number": "602-930-6060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20542 N Lake Pleasant Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "85382",
            "country_code": "US",
            "telephone_number": "602-298-7777 x128",
            "fax_number": "623-930-6060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 S Watson Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853263451",
            "country_code": "US",
            "telephone_number": "602-298-7777 x128",
            "fax_number": "623-930-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUCHER",
        "first_name": "FRED",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "12174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210783",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z212195",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.