Individual provider Active NPI

Cathy P. Carpenter, M.D.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1013989078
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15331 Issued in AZ
Practice address
1707 W Saint Marys Rd Ste 175
Tucson, AZ 85745-2613
Phone
(520) 616-6790
Fax
(520) 622-0849
NPI assigned
Feb 3, 2006
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15331 AZ Primary

Addresses

Primary practice location

1707 W Saint Marys Rd Ste 175
Tucson, AZ 85745-2613

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111

Other identifiers 5

IdentifierTypeStateIssuer
0009585560005MedicaidPA
136324OtherPAHEALTH AMERICA
02377500OtherPACAPITAL BLUE CROSS
1520948OtherPAGATEWAY HEALTH PLAN
606644OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101015000133 PA Practitioner - Family Practice 7315050176 Reassigns benefits to 1 organization
I20240208004605 AZ Practitioner - Family Practice 7315050176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians

Practice addresses (Care Compare)

13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111

2945 W Ina Rd
Suite 215And221
Tucson, AZ 85741-2350
Phone (520) 616-1531

3690 S Park Ave
Suite 805
Tucson, AZ 85713-5042
Phone (520) 616-6760

5224 W Dove Centre Rd
Marana, AZ 85658-5063
Phone (520) 616-1445

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital CurrentSince Jul 1, 2013 Accepting new patients
White Rose Family Practice, LLC Current Accepting new patients
York Hospital Current Accepting new patients
Marana Health Center Inc CurrentSince Feb 1, 2024 Accepting new patients
Marana Health Center, Inc Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
York Hospital CurrentSince Jul 1, 2013 Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

13395 N Marana Main St
Bldg B
Marana, AZ 85653
Phone (520) 682-1091

5224 W Dove Centre Rd
Marana, AZ 85658
Phone (520) 616-1445

1856 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 825-7111

12635 W Rudasill Rd
Tucson, AZ 85743
Phone (520) 682-3777

1323 W Prince Rd
Tucson, AZ 85705
Phone (520) 887-0800

1670 W Ruthrauff Rd
Tucson, AZ 85705
Phone (520) 616-6797

16701 N Oracle Rd
Ste 135
Tucson, AZ 85739
Phone (520) 682-1095

1707 W Saint Marys Rd
Ste 175
Tucson, AZ 85745
Phone (520) 616-6790

2355 N Wyatt Dr
Ste 101
Tucson, AZ 85712
Phone (520) 616-4948

2945 W Ina Rd
Ste 215
Tucson, AZ 85741

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

435 E Glenn St
Tucson, AZ 85705
Phone (520) 616-1560

8181 E Irvington Rd
Tucson, AZ 85709
Phone (520) 574-1551

899 N Wilmot Rd
Ste B
Tucson, AZ 85711
Phone (520) 290-1100

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

80 Wyntre Brooke Dr
York, PA 17403
Phone (717) 741-9462

Interoperability endpoints

  • Direct secure messaging: cathy.carpenter.2@32652.direct.athenahealth.com

Organizations & group practices 10

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1013989078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4111",
            "fax_number": "520-616-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W SAINT MARYS RD STE 175",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452613",
            "telephone_number": "520-616-6790",
            "fax_number": "520-622-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CATHY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "15331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009585560005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "136324",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02377500",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1520948",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "606644",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.