ARROWHEAD EYE CENTER
NPI 1467634477
Specialist in Peoria, AZ
About Arrowhead Eye Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARROWHEAD EYE CENTER (NPI 1467634477) is a healthcare organization registered as a specialist in Peoria, Arizona and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Richard M Kootman, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Arrowhead Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Arrowhead Eye Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2072438
Richard M Kootman MD PC · Peoria, AZFrequently 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 M. Kootman M.D.,p.C.'s NPI number?
The NPI number for Richard M. Kootman M.D.,p.C. is 1467634477. It was assigned to this organization in the NPPES registry on November 30, 2007. The provider is also known as Arrowhead Eye Center.
Where is Richard M. Kootman M.D.,p.C. located?
Richard M. Kootman M.D.,p.C. is located at 13943 N. 91st Ave Bldg G, Peoria, AZ 85381. The listed phone number is (623) 561-1995.
What is Richard M. Kootman M.D.,p.C.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Richard M. Kootman M.D.,p.C. enrolled in Medicare?
Yes. Richard M. Kootman M.D.,p.C. is registered in the Medicare PECOS enrollment system.
When is Richard M. Kootman M.D.,p.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Richard M. Kootman M.D.,p.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Richard M. Kootman M.D.,p.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Richard M. Kootman M.D.,p.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2072438) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Richard M. Kootman M.D.,p.C. accept?
Health plans from Oscar Health Plan, Inc. list Richard M. Kootman M.D.,p.C. 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 M. Kootman M.D.,p.C. was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Arrowhead Eye Center · NPI 1467634477
Specialist organization in Peoria, Arizona. Organization record, active in the CMS NPPES registry since November 30, 2007.
## Identity
- **NPI:** 1467634477 (Entity type: Organization)
- **Enumerated:** November 30, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Richard M. Kootman M.d.,p.c.
- **Organization subpart:** No
- **Authorized official:** Richard Kootman, MEDICAL DIRECTOR
## Practice location
- **Address:** 13943 N. 91ST AVE BLDG G, Peoria, AZ 85381-3687
- **Phone:** (623) 561-1995 · **Fax:** (623) 561-2446
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Ophthalmology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2008
- **Other identifiers:** Medicare NSC 1258130001 (AZ); Medicare PIN ZWCLFP (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467634477) · Data from the CMS NPPES public registry.