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RICHARD A ASHLEY M.D.
NPI 1003896465
Urology - Pediatric Urology in Tucson, AZ

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
5166 E. GLENN ST., TUCSON, AZ 85712(520) 795-5338(520) 795-5382 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Richard A Ashley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD A ASHLEY M.D. (NPI 1003896465) is an individual pediatric urology provider in Tucson, Arizona, licensed in Arizona (42904) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Mayo Medical School (2002).

NPPES Registry Identity

NPI1003896465
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameRICHARD A ASHLEYCredential: M.D.
Location Address5166 E. GLENN ST.Tucson, AZ 85712
Mailing Address5166 E. Glenn St.Tucson, AZ 85712 · (520) 795-5338 · Fax (520) 795-5382
Phone(520) 795-5338
Fax(520) 795-5382
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 2002
Enumeration DateJanuary 20, 2006
Last NPPES UpdateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1003896465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in AZ · 42904
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
5166 E. GLENN ST., Tucson, AZ 85712
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Other Identifiers 1

Medicaid524049AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard A Ashley M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486847787
PECOS Enrollment IDI20101019001071
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Richard Ashley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Clinics For Rehabilitative Services
0.2 mi
Multi-Specialty
2600 N WYATT DR
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 138 clinicians in this Medicare group
NPI 1063454346 (520) 324-5437
Tmc Medical Network
0.4 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461
Tmcone
0.4 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 196 clinicians in this Medicare group
NPI 1467310417 (520) 324-2308

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Ashley's NPI number?

The NPI number for Richard Ashley is 1003896465. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Richard Ashley located?

Richard Ashley practices at 5166 E. Glenn St., Tucson, AZ 85712. The listed phone number is (520) 795-5338.

What is Richard Ashley's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Richard Ashley enrolled in Medicare?

Yes. Richard Ashley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Richard Ashley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Ashley reassigns Medicare benefits to 3 organizations: Children's Clinics For Rehabilitative Services (Tucson, AZ), Tmc Medical Network (Tucson, AZ) and Tmcone (Tucson, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Ashley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Ashley accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Richard Ashley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Ashley was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.