Individual provider Active NPI

Lauren Marissa Rittenberg, D.O.

  • Urology Physician
  • Tucson, AZ
National Provider Identifier
1013203959
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
010492 Issued in AZ
Practice address
4790 S Calle Santa Cruz
Tucson, AZ 85714-0007
Phone
(843) 884-8045
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 39376 SC
Urology Physician 208800000X 010492 AZ Primary

Addresses

Primary practice location

4790 S Calle Santa Cruz
Tucson, AZ 85714-0007

Mailing address

4790 S Calle Santa Cruz
Tucson, AZ 85714-0007

Other identifiers 1

IdentifierTypeStateIssuer
393764MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lauren.Rittenberg@rsfpp.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170705001517 AZ Practitioner - Urology 7618260597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Philadelphia College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

4790 S Calle Santa Cruz
Tucson, AZ 85714-1111
Phone (520) 777-2277

Hospital & facility affiliations

  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010
  • St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010492AZMDPharmacist
39376SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC CurrentSince Jul 17, 2023 Accepting new patients
Carondelet Medical Group, Inc PastSince Jul 17, 2023 Accepting new patients

Locations

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

4790 S Calle Santa Cruz
Tucson, AZ 85714
Phone (520) 777-2277

2220 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 877-5660

6565 E Carondelet Dr
Ste 285
Tucson, AZ 85710
Phone (520) 333-4184

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

551 W Magee Rd
Tucson, AZ 85704
Phone (520) 498-6467

5605 E River Rd
Ste 219
Tucson, AZ 85750
Phone (520) 314-4275

Interoperability endpoints

  • Direct secure messaging: lauren.rittenberg.1@600.direct.athenahealth.com
  • Direct secure messaging: lauren.rittenberg@rsfpp.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

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.

Hospital & facility affiliations 2

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1013203959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 S CALLE SANTA CRUZ",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857140007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 S CALLE SANTA CRUZ",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857140007",
            "telephone_number": "843-884-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTENBERG",
        "first_name": "LAUREN",
        "middle_name": "MARISSA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "39376",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "010492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393764",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lauren.Rittenberg@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "180 Wingo Way Ste 304",
            "city": "MT Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294641812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.