Active NPI
Aleksandar Cody Blubaum, MD
- Urology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 77386
- Practice address
- 5301 E Grant Rd
Tucson, AZ 85712-2874 - Phone
- (520) 327-5461
- NPI assigned
- May 14, 2018
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 77386 | AZ | Primary |
Addresses
Primary practice location
5301 E Grant Rd
Tucson, AZ 85712-2874
Mailing address
5301 E Grant Rd
Tucson, AZ 85712-2874
Phone (520) 327-5461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Colorado School of Medicine, Aurora, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-4230
Hospital & facility affiliations
- Tucson Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77386 | AZ | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Regional Medical System | Urology | Current | Accepting new patients |
| Washington Regional Medical System | Family Medicine | Current | Accepting new patients |
| TMC Medical Network | Current | Accepting new patients |
Locations
3 E Appleby Rd
Ste 201
Fayetteville, AR 72703
Phone (479) 404-1100
114 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 463-2597
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010
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
- Tucson, AZ
- NPI 1750832283
-
- Urology Physician
- Fayetteville, AR
- NPI 1205073657
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
-
- Family Medicine Physician
- Farmington, AR
- NPI 1275839011
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1023508231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122874",
"telephone_number": "520-327-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122874",
"telephone_number": "520-327-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUBAUM",
"first_name": "ALEKSANDAR",
"middle_name": "CODY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-14",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "77386",
"primary": true
}
],
"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 Aug 18, 2025; 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.