Individual provider Active NPI

Neil C Clements Jr., MD

  • Pulmonary Disease Physician
  • Tucson, AZ
National Provider Identifier
1013909365
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
17696 Issued in AZ
Practice address
9420 E Golf Link Road, Ste 108
PMB 284
Tucson, AZ 85730
Phone
(520) 447-7413
Fax
(520) 210-7422
NPI assigned
Aug 22, 2005
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 17696 AZ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 17696 AZ
Pulmonary Disease Physician 207RP1001X 17696 AZ Primary

Addresses

Primary practice location

9420 E Golf Link Road, Ste 108
PMB 284
Tucson, AZ 85730

Mailing address

9420 E Golf Link Road, Ste 108
PMB 284
Tucson, AZ 85730
Phone (520) 447-7413

Other identifiers 1

IdentifierTypeStateIssuer
189771MedicaidAZ

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
I20041130001091 AZ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary DiseasePractitioner - Other (Physician) 4082506639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
University of Louisville School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natrajan Enterprises PLLCGroup PAC ID 7618342114, 5 clinicians

Practice addresses (Care Compare)

4318 E Desert Oak TRL
Tucson, AZ 85718-6700
Phone (520) 447-7411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17696AZMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Natrajan Enterprises, PLLC Pulmonary Disease CurrentSince Jun 17, 2023 Accepting new patients
Natrajan Investments PLLC Pulmonary Disease PastSince Feb 19, 2023 Accepting new patients

Locations

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

9420 E Golf Links Rd
Ste 108
Tucson, AZ 85730
Phone (520) 390-3862

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1013909365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 E GOLF LINK ROAD, STE 108",
            "address_2": "PMB 284",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85730",
            "telephone_number": "520-447-7413",
            "fax_number": "520-210-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 E GOLF LINK ROAD, STE 108",
            "address_2": "PMB 284",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85730",
            "telephone_number": "520-447-7413",
            "fax_number": "520-210-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "NEIL",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "17696",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "17696",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "17696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189771",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.