Individual provider Active NPI

Mohammad Rida Khreiss, M.D.

  • Surgical Oncology Physician
  • Tucson, AZ
National Provider Identifier
1023241544
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
50783 Issued in AZ
Practice address
1951 N Wilmot Rd
BLDG 2
Tucson, AZ 85712-8000
Phone
(520) 795-5845
Fax
(520) 795-8620
NPI assigned
Sep 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 50783 AZ Primary
Surgery Physician 208600000X 50783 AZ

Addresses

Primary practice location

1951 N Wilmot Rd
BLDG 2
Tucson, AZ 85712-8000

Mailing address

PO Box 13627
Tucson, AZ 85732-3627

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
I20150804006319 AZ Practitioner - Surgical OncologyPractitioner - General Surgery 2062630221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

1891 W Orange Grove Rd
BLDG 1
Tucson, AZ 85704-1105
Phone (520) 742-4183

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50783AZMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Jul 1, 2019 Accepting new patients
Banner-University Medical Group CurrentSince Jul 1, 2019 Accepting new patients
Banner - University Medical Center Tucson Campus LLC Past Accepting new patients
Valley ENT, PC Past Accepting new patients

Locations

3533 Canyon de Flores
Ste C
Sierra Vista, AZ 85650
Phone (520) 458-2000

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1891 W Orange Grove Rd
Bldg 1
Tucson, AZ 85704
Phone (520) 694-2873

3838 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-2873

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

Organizations & group practices 4

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 4

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1023241544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13627",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857323627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD",
            "address_2": "BLDG 2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128000",
            "telephone_number": "520-795-5845",
            "fax_number": "520-795-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHREISS",
        "first_name": "MOHAMMAD",
        "middle_name": "RIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "AZ",
            "license": "50783",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "50783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.