Active NPI
Robert P Tully, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 13591
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242149 | Medicaid | AZ | |
| 110010418 | Other | AZ | RR MEDICARE |
| AZ0181280 | Other | AZ | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
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
- At Home Healthcare
- Sweetheart Healthcare LLC
- Mission Home Health of Phoenix
- Thema Health Services
- Traditions Health
- Primavera Hospice LLC
- Golden Rose Hospice Care Inc
- Traditions Health
- AMG Hospice of Arizona
- Banner Baywood Medical Center
- Banner Gateway Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 55 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Wellness Resources | Current | Accepting new patients | |
| Traditions Health Palliative Care of Arizona, LLC | Current | 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
- https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Traditions Health | 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.
-
- Community Based Hospice Care Agency
- Scottsdale, AZ
- NPI 1679249791
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Mesa, AZ
- NPI 1336700798
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.
-
- Clinic/Center
- Chandler, AZ
- NPI 1124743661
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Phoenix, AZ
- NPI 1053066829
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
-
- Home Health Agency
- Sun City, AZ
- NPI 1023051927
-
- Home Health Agency
- Phoenix, AZ
- NPI 1437593159
-
- Home Health Agency
- Phoenix, AZ
- NPI 1477547123
-
- Home Health Agency
- Mesa, AZ
- NPI 1891130589
-
- Community Based Hospice Care Agency
- Glendale, AZ
- NPI 1689322307
-
- Home Health Agency
- Chandler, AZ
- NPI 1699440073
-
- Community Based Hospice Care Agency
- Chandler, AZ
- NPI 1295038297
-
- Community Based Hospice Care Agency
- Scottsdale, AZ
- NPI 1679249791
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.