Individual provider Active NPI

Phillip I Menashe, M.D.

  • Pulmonary Disease Physician
  • Phoenix, AZ
National Provider Identifier
1942347711
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD00019238 Issued in WA
Practice address
6970 E Chauncey LN Ste 100
Phoenix, AZ 85054-5158
Phone
(602) 788-7211
Fax
(602) 788-1890
NPI assigned
Jan 31, 2007
Last updated
Apr 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD00019238 WA
Pulmonary Disease Physician 207RP1001X MD00019238 WA Primary
Pulmonary Disease Physician 207RP1001X 57205 AZ

Addresses

Primary practice location

6970 E Chauncey LN Ste 100
Phoenix, AZ 85054-5158

Mailing address

6970 E Chauncey LN Ste 100
Phoenix, AZ 85054-5158
Phone (602) 788-7221

Other practice location 1

303 Holton Ave
Yakima, WA 98902-3239
Phone (509) 575-7653

Other identifiers 1

IdentifierTypeStateIssuer
1045491MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120118000689 WA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4880622182 Reassigns benefits to 1 organization
I20190328001541 AZ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4880622182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Washington School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians

Practice addresses (Care Compare)

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

406 S 30TH Ave
Yakima, WA 98902-3713

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00019238WAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Memorial Physicians CurrentSince Sep 1, 2020 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Sep 1, 2020 Accepting new patients
Yakima Chest Clinic, P.C. Pulmonary Disease PastSince Sep 1, 2014 Accepting new patients

Locations

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

303 Holton Ave
Yakima, WA 98902
Phone (509) 575-7653

303 Holton Ave
Ste 1
Yakima, WA 98902
Phone (509) 577-0466

4003 Creekside Loop
Yakima, WA 98908
Phone (509) 248-3263

Interoperability endpoints

  • Direct secure messaging: pmenashe708597@direct.multicare.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1942347711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6970 E CHAUNCEY LN STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545158",
            "telephone_number": "602-788-7221",
            "fax_number": "602-788-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 E CHAUNCEY LN STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545158",
            "telephone_number": "602-788-7211",
            "fax_number": "602-788-1890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Holton Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023239",
            "country_code": "US",
            "telephone_number": "509-575-7653",
            "fax_number": "509-248-3723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENASHE",
        "first_name": "PHILLIP",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD00019238",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD00019238",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "57205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045491",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.