Individual provider Active NPI

Chad E Pletnick, MD

  • Pain Medicine (Anesthesiology) Physician
  • Oro Valley, AZ
National Provider Identifier
1992829501
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
36354 Issued in AZ
Practice address
12480 N Rancho Vistoso Blvd Ste 180
Oro Valley, AZ 85755-1994
Phone
(520) 742-4008
Fax
(520) 742-4280
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 36354 AZ
Pain Medicine (Anesthesiology) Physician 207LP2900X 36354 AZ Primary

Addresses

Primary practice location

12480 N Rancho Vistoso Blvd Ste 180
Oro Valley, AZ 85755-1994

Mailing address

12480 N Rancho Vistoso Blvd Ste 180
Oro Valley, AZ 85755-1994
Phone (520) 742-4008

Other identifiers 2

IdentifierTypeStateIssuer
210926MedicaidAZ
P00447241OtherAZRAILROAD MEDICARE

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
I20070601000063 AZ Practitioner - AnesthesiologyPractitioner - Pain Management 8820196603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Pain Care Center PLLCGroup PAC ID 5496018921, 12 clinicians

Practice addresses (Care Compare)

12480 N Rancho Vistoso Blvd
Suite 180
Oro Valley, AZ 85755-1994
Phone (520) 742-4008

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as individual
Quality
95
Promoting interoperability
95
Improvement activities
40
Cost
76.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36354AZMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Care Center, PLLC CurrentSince Feb 13, 2018 Accepting new patients
Arizona Pain Care Associates LLC Past Accepting new patients

Locations

17100 N 67th Ave
Ste 600601
Glendale, AZ 85308
Phone (520) 742-4008

17100 N 67th Ave
Ste 600
Glendale, AZ 85308

1055 N La Canada Dr
Ste 131
Green Valley, AZ 85614
Phone (520) 589-2039

12480 N Rancho Vistoso Blvd
Ste 180
Oro Valley, AZ 85755
Phone (520) 544-5130

5639 E Grant Rd
Tucson, AZ 85712
Phone (520) 615-3444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGEIBD

Organizations & group practices 2

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992829501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12480 N RANCHO VISTOSO BLVD STE 180",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551994",
            "telephone_number": "520-742-4008",
            "fax_number": "520-742-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12480 N RANCHO VISTOSO BLVD STE 180",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551994",
            "telephone_number": "520-742-4008",
            "fax_number": "520-742-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLETNICK",
        "first_name": "CHAD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "36354",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "36354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210926",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00447241",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.