Individual provider Active NPI

Heather Ruth Cassell, MD

  • Allergy & Immunology Physician
  • Tucson, AZ
National Provider Identifier
1093700684
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
30265 Issued in AZ
Practice address
2902 East Grant Road
Tucson, AZ 85716-2742
Phone
(520) 322-8361
Fax
(520) 322-8462
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 30265 AZ
Allergy & Immunology Physician 207K00000X 30265 AZ Primary

Addresses

Primary practice location

2902 East Grant Road
Tucson, AZ 85716-2742

Mailing address

2902 East Grant Road
90 MDG
Tucson, AZ 85716-2742
Phone (520) 322-8361

Other identifiers 1

IdentifierTypeStateIssuer
431374MedicaidAZ

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
I20090821000192 AZ Practitioner - Allergy/Immunology 6507936820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Arizona College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

2800 E Ajo Way
Tucson, AZ 85713-6204

707 N Alvernon Way
Suite 301
Tucson, AZ 85711-1848
Phone (520) 694-1460

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Aug 1, 2016 Accepting new patients
Banner-University Medical Group Allergy & Immunology CurrentSince Aug 1, 2016 Accepting new patients

Locations

6261 N La Cholla Blvd
Ste 131
Tucson, AZ 85741
Phone (301) 984-1979

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

6261 N La Cholla Blvd
Ste 101
Tucson, AZ 85741
Phone (520) 322-8361

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

Organizations & group practices 2

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1093700684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 EAST GRANT ROAD",
            "address_2": "90 MDG",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162742",
            "telephone_number": "520-322-8361",
            "fax_number": "520-322-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 EAST GRANT ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162742",
            "telephone_number": "520-322-8361",
            "fax_number": "520-322-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSELL",
        "first_name": "HEATHER",
        "middle_name": "RUTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "30265",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AZ",
            "license": "30265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431374",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.