NPIMap

Individual provider Active NPI

Basel Shoua, M.D

  • Hematology & Oncology Physician
  • Tucson, AZ
National Provider Identifier
1003260662
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
66118 Issued in AZ
Practice address
2070 W Rudasill Rd Ste 130
Tucson, AZ 85704-7891
Phone
(520) 797-4468
Fax
(520) 797-4502
NPI assigned
Apr 20, 2016
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 66118 AZ Primary

Addresses

Primary practice location

2070 W Rudasill Rd Ste 130
Tucson, AZ 85704-7891

Mailing address

PO Box 910221
Dallas, TX 75391-0221
Phone (520) 519-7700

Other identifiers 1

IdentifierTypeStateIssuer
66118OtherAZAZ MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220429001800 AZ Practitioner - Hematology/Oncology 1456691831 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TmconeGroup PAC ID 9234604877, 60 clinicians
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians

Practice addresses (Care Compare)

2070 W Rudasill Rd
Suite 130
Tucson, AZ 85704-7891
Phone (520) 420-2520

2500 E Hunt Dr
Suite H
Show Low, AZ 85901-7954
Phone (928) 537-6937

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Healthcare Association CurrentSince Feb 1, 2025 Accepting new patients
Summit Healthcare Association Hematology & Oncology CurrentSince Feb 1, 2025 Accepting new patients
Arizona Oncology Associates PC Hematology & Oncology CurrentSince Apr 20, 2022 Accepting new patients
TMC Medical Network CurrentSince Apr 1, 2025 Accepting new patients
Arizona State Radiology, PC Past Accepting new patients

Locations

1315 S La Canada Dr
Green Valley, AZ 85622
Phone (520) 625-6600

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

2500 E Hunt Dr
Ste H
Show Low, AZ 85901
Phone (520) 537-0200

2500 E Hunt Dr
Ste Hj
Show Low, AZ 85901
Phone (928) 537-6937

1760 E River Rd
Ste 350
Tucson, AZ 85718
Phone (520) 519-7720

2070 W Rudasill Rd
Ste 110
Tucson, AZ 85704
Phone (520) 797-3630

2070 W Rudasill Rd
Ste 130
Tucson, AZ 85704
Phone (520) 420-2520

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

3476 S Kino Pkwy
Tucson, AZ 85713
Phone (520) 420-2340

Networks

  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: basel.shoua@aoa.ikm.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1003260662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910221",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753910221",
            "telephone_number": "520-519-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 W RUDASILL RD STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047891",
            "telephone_number": "520-797-4468",
            "fax_number": "520-797-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUA",
        "first_name": "BASEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "66118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL LICENSE",
            "identifier": "66118",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.