Individual provider Active NPI

Macy Alayne Whitley, D.O.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Tucson, AZ
National Provider Identifier
1013181577
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
Q5735 Issued in TX
Practice address
1501 N Campbell Ave
Tucson, AZ 85724-5036
Phone
(520) 626-9660
Fax
(520) 626-0107
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X Q5735 TX Primary

Addresses

Primary practice location

1501 N Campbell Ave
Tucson, AZ 85724-5036

Mailing address

1501 N Campbell Ave
PO Box 245036
Tucson, AZ 85724-5036
Phone (520) 626-9660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160526000269 TX Practitioner - Hospice/Palliative Care 4880845270 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5735TXMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitas Health Services of Texas, P.a. Hospice and Palliative Medicine CurrentSince Apr 19, 2016 Accepting new patients
Three Oaks Palliative Care PLLC CurrentSince Apr 16, 2024 Accepting new patients

Locations

255 E 5th St
Ste 1050
Cincinnati, OH 45202

717 N Harwood St
Ste 550
Dallas, TX 75201
Phone (214) 628-9951

14651 Dallas Pkwy
Ste 811
Dallas, TX 75254

2100 Lakeside Blvd
Ste 250
Richardson, TX 75082
Phone (469) 998-7443

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1013181577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "address_2": "PO BOX 245036",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245036",
            "telephone_number": "520-626-9660",
            "fax_number": "520-626-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245036",
            "telephone_number": "520-626-9660",
            "fax_number": "520-626-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "MACY",
        "middle_name": "ALAYNE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "Q5735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.