Individual provider Active NPI

Myriam Rodriguez-Padilla, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1073503850
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31824 Issued in AZ
Practice address
6060 N Fountain Plaza Dr Ste 270
Tucson, AZ 85704-7873
Phone
(520) 229-2578
Fax
(520) 229-2561
NPI assigned
Oct 24, 2005
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31824 AZ Primary

Addresses

Primary practice location

6060 N Fountain Plaza Dr Ste 270
Tucson, AZ 85704-7873

Mailing address

6060 N Fountain Plaza Dr Ste 270
Tucson, AZ 85704-7873
Phone (520) 229-2578

Other identifiers 3

IdentifierTypeStateIssuer
8528012MedicaidNM
803454MedicaidAZ
P00083212OtherAZRAILROAD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address myriam.rodriguez-padilla@nwhc.cernerdirect.com
Direct Messaging Address myriam.rodriguez-padilla.1@1576.direct.athenahealth.com

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
I20040329000988 AZ Practitioner - Family Practice 1951293364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University Central del Caribe Escuela de Medicina, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

5620 W Thunderbird Rd
Suite F1
Glendale, AZ 85306-4652
Phone (888) 698-6727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31824AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Allen Family Medicine PLLC Family Medicine Past Accepting new patients
Pima Heart Physicians, PC Past Accepting new patients

Locations

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

11951 N 1st Ave
Oro Valley, AZ 85737
Phone (520) 431-8964

1550 W Valencia Rd
Tucson, AZ 85746
Phone (520) 741-2342

2150 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 544-9480

1550 W Valencia Rd
Ste 150
Tucson, AZ 85746

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
  • Direct secure messaging: myriam.rodriguez-padilla@nwhc.cernerdirect.com
  • FHIR API: https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4
  • Direct secure messaging: myriam.rodriguez-padilla.1@19654.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1073503850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 N FOUNTAIN PLAZA DR STE 270",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047873",
            "telephone_number": "520-229-2578",
            "fax_number": "520-229-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 N FOUNTAIN PLAZA DR STE 270",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047873",
            "telephone_number": "520-229-2578",
            "fax_number": "520-229-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-PADILLA",
        "first_name": "MYRIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "31824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8528012",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "803454",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00083212",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myriam.rodriguez-padilla@nwhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "6060 N Fountain Plaza Dr Ste 270",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857047873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myriam.rodriguez-padilla.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "6060 N Fountain Plaza Dr Ste 270",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857047873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.