Individual provider Active NPI

Connie Susan Funk, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1083835557
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
77376 Issued in AZ
Practice address
320 W Prince Rd
Tucson, AZ 85705-3526
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 77376 AZ Primary

Addresses

Primary practice location

320 W Prince Rd
Tucson, AZ 85705-3526

Mailing address

8730 N Newport PL
Tucson, AZ 85704-6626
Phone (520) 240-4467

Other names 1

  • Connie Susan Heuss Former name

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
I20081009000056 AZ Practitioner - Internal Medicine 1658449210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arizona College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Rio Santa Cruz Neighborhood Health Center, Inc.Group PAC ID 6305739244, 283 clinicians

Practice addresses (Care Compare)

320 W Prince Rd
Tucson, AZ 85705-3526
Phone (520) 670-3909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77376AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Apr 25, 2011 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Apr 25, 2011 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients

Locations

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

1500 W Commerce Ct
Bldg 12
Tucson, AZ 85746

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316

320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663

101 W Irvington Rd
Bldg 3C
Tucson, AZ 85714
Phone (520) 573-0096

1500 W Commerce Ct
Tucson, AZ 85746
Phone (520) 309-3601

Interoperability endpoints

  • Direct secure messaging: cfunk18170@elrio.direct.ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1083835557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 N NEWPORT PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046626",
            "telephone_number": "520-240-4467",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W PRINCE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053526",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "CONNIE",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "77376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "HEUSS",
            "middle_name": "SUSAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.