Individual provider Active NPI

Robert P Tully, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Mesa, AZ
National Provider Identifier
1013932870
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
13591 Issued in AZ
Practice address
7525 E Broadway Rd
Ste 2
Mesa, AZ 85208-1154
Phone
(480) 981-9800
Fax
(480) 985-9465
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 13591 AZ Primary

Addresses

Primary practice location

7525 E Broadway Rd
Ste 2
Mesa, AZ 85208-1154

Mailing address

7525 E Broadway Rd
Ste 2
Mesa, AZ 85208-1154
Phone (480) 981-9800

Other identifiers 3

IdentifierTypeStateIssuer
242149MedicaidAZ
110010418OtherAZRR MEDICARE
AZ0181280OtherAZBCBS

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
I20051117000927 AZ Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 0840219952 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine, Hospice/Palliative Care
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Wellness ResourcesGroup PAC ID 6002296506, 37 clinicians

Practice addresses (Care Compare)

3501 N Scottsdale Rd
Suite 231
Scottsdale, AZ 85251-5649
Phone (855) 893-5637

7525 E Broadway Rd
Suite 2
Mesa, AZ 85208-1154
Phone (855) 893-5637

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • At Home Healthcare Home health agency, Mesa, AZ, CCN 037258
  • Sweetheart Healthcare LLC Home health agency, Chandler, AZ, CCN 037813
  • Mission Home Health of Phoenix Home health agency, Tempe, AZ, CCN 037433
  • Thema Health Services Home health agency, Phoenix, AZ, CCN 037202
  • Traditions Health Hospice, Chandler, AZ, CCN 031601
  • Primavera Hospice LLC Hospice, Glendale, AZ, CCN 001534
  • Golden Rose Hospice Care Inc Hospice, Phoenix, AZ, CCN 001524
  • Traditions Health Hospice, Scottsdale, AZ, CCN 031606
  • AMG Hospice of Arizona Hospice, Chandler, AZ, CCN 001580
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions55
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Wellness Resources CurrentSince Mar 28, 2024 Accepting new patients
Traditions Health Palliative Care of Arizona, LLC CurrentSince Nov 1, 2022 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

5355 W Chandler Blvd
Ste 3B
Chandler, AZ 85226
Phone (602) 283-7474

7525 E Broadway Rd
Ste 2
Mesa, AZ 85208
Phone (480) 981-9800

3501 N Scottsdale Rd
Ste 231
Scottsdale, AZ 85251
Phone (480) 945-3873

8150 N Central Expy
Ste 1800
Dallas, TX 75206
Phone (469) 501-1602

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robert.tully.1@27041.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Traditions HealthScottsdale, AZ, CCN 031606 Hospice Contracted Managing Employee Oct 4, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

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 11

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1013932870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 E BROADWAY RD",
            "address_2": "STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852081154",
            "telephone_number": "480-981-9800",
            "fax_number": "480-985-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 E BROADWAY RD",
            "address_2": "STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852081154",
            "telephone_number": "480-981-9800",
            "fax_number": "480-985-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "13591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242149",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110010418",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0181280",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.