Active NPI
Karen Maureen Chandler, M.D.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Tucson, AZ
National Provider Identifier
1073579447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 37520
- Practice address
- 5301 E Grant Rd
Tucson, AZ 85712-2805 - Phone
- (520) 324-1205
- Fax
- (520) 324-3650
- NPI assigned
- Apr 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00795 | NC | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 37520 | AZ | Primary |
Addresses
Primary practice location
5301 E Grant Rd
Tucson, AZ 85712-2805
Mailing address
PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 324-4100
Other practice location 1
7091 E Speedway Blvd
Tucson, AZ 85710-1241
Phone (520) 258-0668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259310 | Medicaid | AZ |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071004000820 | AZ | Practitioner - Family Practice | 9436244472 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC Medical Network | Current | Accepting new patients | |
| Tucson Medical Center | Current | Accepting new patients | |
| Tucson Medical Center | Current | Accepting new patients | |
| Stokes Family Health Center | Past | Accepting new patients | |
| County of Stokes | Past | Accepting new patients | |
| Tucson Medical Center | Family Medicine | Past | Accepting new patients |
| Tucson Medical Center | Past | Accepting new patients |
Locations
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010
5301 E Grant Rd
Unit 600
Tucson, AZ 85712
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.
-
- Community/Retail Pharmacy
- Tucson, AZ
- NPI 1972876563
-
- Psychiatric Hospital Unit
- Tucson, AZ
- NPI 1881683126
-
- Public Health or Welfare Agency
- Danbury, NC
- NPI 1316914534
-
- Federally Qualified Health Center (FQHC)
- Danbury, NC
- NPI 1083940795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1073579447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31235",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857511235",
"telephone_number": "520-324-4100",
"fax_number": "520-324-1406"
},
{
"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": "857122805",
"telephone_number": "520-324-1205",
"fax_number": "520-324-3650"
}
],
"practiceLocations": [
{
"address_1": "7091 E Speedway Blvd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857101241",
"country_code": "US",
"telephone_number": "520-258-0668",
"fax_number": "520-258-0698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANDLER",
"first_name": "KAREN",
"middle_name": "MAUREEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "00795",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "AZ",
"license": "37520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259310",
"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 Sep 16, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.