Active NPI
Roxanna Behnejad
- Medical Physician Assistant
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 8443
- Practice address
- 350 N Wilmot Rd
Tucson, AZ 85711-2602 - Phone
- (520) 873-3077
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | PA60907702 | WA | |
| Medical Physician Assistant | 363AM0700X | 8443 | AZ | Primary |
Addresses
Primary practice location
350 N Wilmot Rd
Tucson, AZ 85711-2602
Mailing address
350 N Wilmot Rd
Tucson, AZ 85711-2602
Other practice location 1
315 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1291
Other practice location 2
2450 E River Rd
Tucson, AZ 85718-6526
Phone (520) 887-3056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
395 N Silverbell Rd
Suite 355
Tucson, AZ 85745-2981
Phone (520) 622-5912
Hospital & facility affiliations
- St Joseph'S Hospital
- Tucson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8443 | AZ | MD | Medical Physician Assistant |
| PA60907702 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Physicians, Inc | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| SMSJ Tucson Holdings LLC | Past | Accepting new patients |
Locations
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Organizations & group practices 7
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.
-
- Interventional Cardiology Physician
- Tucson, AZ
- NPI 1356726939
-
- Internal Medicine Physician
- Sierra Vista, AZ
- NPI 1568758266
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Hospitalist Physician
- Dover Foxcroft, ME
- NPI 1881090934
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1629160171
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1538535158
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1538535158
-
- 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": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1033649017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112602",
"telephone_number": "520-873-3077"
}
],
"practiceLocations": [
{
"address_1": "315 Martin Luther King Jr Way",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "98405",
"country_code": "US",
"telephone_number": "253-403-1291",
"fax_number": "253-403-1374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2450 E River Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857186526",
"country_code": "US",
"telephone_number": "520-887-3056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEHNEJAD",
"first_name": "ROXANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA60907702",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "8443",
"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 Mar 16, 2022; 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.