CHERISSE MECHAM
NPI 1043639792
Pediatrics - Pediatric Emergency Medicine in Phoenix, AZ

Q: What is Cherisse Mecham's NPI number?

The NPI number for Cherisse Mecham is 1043639792. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Q: What is Cherisse Mecham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Cherisse Mecham was last updated on September 23, 2020. 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.

Active since April 09, 2014PECOS EnrolledAccepts Medicare Assignment

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1900(602) 933-1918 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2020, Jan 18, 2018 (2 updates tracked since 2018).

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About Cherisse Mecham NPPES

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

CHERISSE MECHAM (NPI 1043639792) is an individual pediatric emergency medicine provider in Phoenix, Arizona, licensed in Arizona (53940) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2014).

NPPES Registry Identity

NPI1043639792

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameCHERISSE MECHAM

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814 · Fax (602) 933-1820

Phone(602) 933-1900

Fax(602) 933-1918

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2014

Enumeration DateApril 9, 2014

Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2020

✔ NPI 1043639792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in AZ · 53940

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 53940 (AZ)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1919 E THOMAS RD, Phoenix, AZ 85016

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cherisse Mecham 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 ID7315215241

PECOS Enrollment IDI20170619001964

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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