Active NPI
Fred H Cucher, MD
- Cardiovascular Disease Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 12174
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210783 | Medicaid | AZ | |
| Z212195 | Other | AZ | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12174 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Development of West Phoenix Inc | Cardiovascular Disease | Current | Accepting new patients |
| Phoenix Heart, PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Phoenix Heart, PLLC | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Goodyear, AZ
- NPI 1013100692
-
- Cardiovascular Disease Physician
- Glendale, AZ
- NPI 1679608095
-
- Cardiac Rehabilitation Registered Nurse
- Glendale, AZ
- NPI 1578396982
-
- Cardiovascular Disease Physician
- Glendale, AZ
- NPI 1326231903
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1659565927
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.