Kelly Andrew Lara

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

64112 Issued in AZ

Practice address

2300 S Houghton Rd Ste 160
Tucson, AZ 85748-0046

Phone

(520) 352-1083

Fax

(520) 352-1088

NPI assigned

Mar 27, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

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 2

Specialty

General Surgery

Education

Indiana University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148
• Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.lara.1@1576.direct.athenahealth.com
• Direct secure messaging: klara98001@direct.llu.edu

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.

• Northwest Allied Physicians LLC

  • General Practice Physician
  • Tucson, AZ
  • NPI 1003833179
  Medicare reassignment Care Compare group NPD
• Cal Med Physicians and Surgeons, Inc.

  • Surgery Physician
  • Colton, CA
  • NPI 1316054737
  Medicare reassignment NPD
• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Apple Valley, CA
  • NPI 1205009917
  Medicare reassignment NPD
• Northwest Allied Physicians, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oro Valley, AZ
  • NPI 1821302910
  NPD
• Faculty Physicians and Surgeons of Llusm

  • Family Medicine Physician
  • Moreno Valley, CA
  • NPI 1558788331
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Hospital LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1487607784
  Care Compare affiliation
• Northwest Sahuarita Hospital LLC

  • General Acute Care Hospital
  • Sahuarita, AZ
  • NPI 1851927669
  Care Compare affiliation

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1083008940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S HOUGHTON RD STE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857480046",
            "telephone_number": "520-352-1083",
            "fax_number": "520-352-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "KELLY",
        "middle_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "64112",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A148544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly.lara.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2300 S Houghton Rd Ste 160",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857480046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Laplante
• Susan M Laponsie, NP
• Nancy H. Lappitt, MA,,ED.S
• Alejandra Lara, LMSW
• John Lara
• Marina Alexis Lara, RBT
• Natalie A Larez, PHD
• John Robert Large, DMD
• Julie Ann Largent
• Larimore Chiropractic, PC

• Surgery Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.