Active NPI
Mohammad Rida Khreiss, M.D.
- Surgical Oncology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 50783
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50783 | AZ | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Current | 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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Otolaryngology Physician
- Scottsdale, AZ
- NPI 1508990185
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1558759498
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1922660182
Hospital
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.