Active NPI
Richard Merland Willey, D.O.
- Diagnostic Radiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5040
- Practice address
- 19829 N 27TH Ave
Phoenix, AZ 85027-4001 - Phone
- (602) 246-2584
- Fax
- (602) 246-2566
- NPI assigned
- Jan 25, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OP00002140 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | 20A 9538 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 971 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 5040 | AZ | Primary |
Addresses
Primary practice location
19829 N 27TH Ave
Phoenix, AZ 85027-4001
Mailing address
PO Box 27340
Phoenix, AZ 85061-7340
Phone (602) 943-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 426571 | Medicaid | AZ |
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 Compare- Specialty
- Diagnostic Radiology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Chandler, AZ 85249
Phone (480) 728-3000
Hospital & facility affiliations
- Chandler Regional Medical Center
- Mercy Gilbert Medical Center
- Honor Health John C. Lincoln Medical Center
- Huhu Kam Memorial Hospital
- Dignity Health Arizona General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5040 | AZ | MD | Diagnostic Radiology Physician |
| 20A 9538 | CA | MD | Diagnostic Radiology Physician |
| 971 | SC | MD | Diagnostic Radiology Physician |
| OP00002140 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benson Hospital Corporation | Current | Accepting new patients | |
| Northern Cochise Community Hospital Inc | Current | Accepting new patients | |
| East Valley Radiology Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Benson Hospital Corporation | Current | Accepting new patients | |
| City of Hope Medical Group of Arizona LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mdig of Washington PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261
101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
20750 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (520) 233-2468
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
118 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-4368
520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197
901 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 384-3541
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
Interoperability endpoints
- gehrwille@yourcarecommunity.org
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Chandler, AZ
- NPI 1518853928
-
- Critical Access Hospital
- Benson, AZ
- NPI 1336118322
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Diagnostic Radiology
-
- Critical Access Hospital
- Willcox, AZ
- NPI 1013060367
-
- Rural Health Clinic/Center
- Vail, AZ
- NPI 1457924920
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1912408329
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1689121188
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
-
- Critical Access Hospital
- Sacaton, AZ
- NPI 1225023179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1962472464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27340",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850617340",
"telephone_number": "602-943-9200",
"fax_number": "602-216-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19829 N 27TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274001",
"telephone_number": "602-246-2584",
"fax_number": "602-246-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEY",
"first_name": "RICHARD",
"middle_name": "MERLAND",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "OP00002140",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "20A 9538",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "971",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "5040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "426571",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.