CHAD R MCCOLLUM PA-C NPI 1659620672

NPI Information

  • NPI: 1659620672
  • Provider Name: CHAD R MCCOLLUM, PA-C
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5605 W EUGIE AVE STE 110
    GLENDALE, AZ
    ZIP 85304
  • Phone: (623) 847-2000

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NPI Details

Chad R Mccollum, PA-C is a diagnostic radiology radiology in Glendale, AZ with 13 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Chad R Mccollum, PA-C NPI is 1659620672. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5605 W EUGIE AVE STE 110
GLENDALE, AZ
ZIP 85304-273
Phone: (623) 847-2000

The NPI 1659620672 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Ultrasonic guidance for needle placement (HCPCS:76942)

The enumeration date for this NPI number is 9/5/2012 and was last updated on 3/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology5259ARIZONAYes
2363AM0700XPhysician AssistantMedical5259ARIZONANo
3363AS0400XPhysician AssistantSurgical5259ARIZONANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1744737MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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