Organization Active NPI

Miguel a. Arenas, M.D., PC

  • Gastroenterology Physician
  • Tucson, AZ
National Provider Identifier
1053515130
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
33383 Issued in AZ
Legal business name
MIGUEL A. ARENAS, M.D., PC
Practice address
7445 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone
(520) 722-0744
Fax
(520) 722-0745
NPI assigned
Jun 13, 2007
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Miguel A. Arenas, M.D.NPI 1619087590
Title
Provider
Phone
(520) 722-0744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 33383 AZ Primary

Addresses

Primary practice location

7445 E Tanque Verde Rd
Tucson, AZ 85715-3477

Mailing address

7445 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 722-0744

Other identifiers 1

IdentifierTypeStateIssuer
Z115811OtherAZPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070703000028 AZ Part B Supplier - Clinic/Group Practice 9931209053 Receives reassigned benefits from 11 practitioners
Practice locations: Tucson, AZ; Wilcox, AZ

National Provider Directory

National Provider Directory

Locations

7445 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 722-0744

7445 E Tanque Verde Rd
#A
Tucson, AZ 85715

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1053515130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153477",
            "telephone_number": "520-722-0744",
            "fax_number": "520-722-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153477",
            "telephone_number": "520-722-0744",
            "fax_number": "520-722-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL A. ARENAS, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "ARENAS",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "520-722-0744",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "33383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z115811",
            "state": "AZ"
        }
    ],
    "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 Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.