Individual provider Active NPI

Thomas R. Cain, M.D.

  • Vascular & Interventional Radiology Physician
  • Tucson, AZ
National Provider Identifier
1003818873
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
45471 Issued in AZ
Practice address
677 N Wilmot Rd
Tucson, AZ 85711-2701
Phone
(520) 795-2889
NPI assigned
Aug 11, 2005
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036087961 IL
Vascular & Interventional Radiology Physician 2085R0204X 45471 AZ Primary

Addresses

Primary practice location

677 N Wilmot Rd
Tucson, AZ 85711-2701

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Other practice location 1

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (602) 943-9200

Other identifiers 1

IdentifierTypeStateIssuer
664043MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120312000829 AZ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1951202969 Reassigns benefits to 4 organizations
I20180620001336 CA Practitioner - Diagnostic Radiology 1951202969 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Southern California Keck School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology LTD LLCGroup PAC ID 6204727589, 107 clinicians

Practice addresses (Care Compare)

Palm Desert, CA 92211
Phone (520) 795-2889

13418 Carillo LN
Los Altos Hills, CA 94022-1902
Phone (520) 571-9599

677 N Wilmot Rd
Tucson, AZ 85711-2701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45471AZMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Cochise Community Hospital Inc CurrentSince Jun 21, 2014 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Benson Hospital Corporation CurrentSince Oct 1, 2014 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jan 10, 2024 Accepting new patients
Benson Hospital Corporation CurrentSince Oct 1, 2014 Accepting new patients
RLC LLC Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
City of Hope Medical Group of Arizona LLC Diagnostic Radiology CurrentSince Jan 12, 2018 Accepting new patients
Stockdale Radiology Physicians Services, Inc Diagnostic Radiology CurrentSince Feb 12, 2021 Accepting new patients
Radiology LTD., LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Jan 10, 2024 Accepting new patients
Quantum Medical Radiology PC Diagnostic Radiology Past Accepting new patients
Aurora Radiology Consultants - Dekalb LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 26)

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

10350 E Drexel Rd
Tucson, AZ 85747
Phone (520) 290-4846

1598 W Commerce Ct
#A
Tucson, AZ 85746
Phone (520) 290-4842

395 N Silverbell Rd
Tucson, AZ 85745
Phone (520) 622-5912

4640 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 318-6144

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5960 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 290-4848

677 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 571-9599

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

901 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 384-3541

4000 Empire Dr
Ste 100
Bakersfield, CA 93309
Phone (661) 395-0155

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

901 Olive Dr
Bakersfield, CA 93308
Phone (661) 215-7500

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

47111 Monroe St
#1112
Indio, CA 92201

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

8933 Panama Rd
Ste 104
Lamont, CA 93241

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

333 S 10th St
Ste 104
Taft, CA 93268

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18129/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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 3

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1003818873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112701",
            "telephone_number": "520-795-2889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "602-943-9200",
            "fax_number": "602-216-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAIN",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036087961",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "45471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "664043",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.