Individual provider Active NPI

Chiarina Galvez, M.D.

  • Pediatric Pulmonology Physician
  • Tucson, AZ
National Provider Identifier
1104116755
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
54966 Issued in AZ
Practice address
5300 E Erickson Dr Ste 100
Tucson, AZ 85712
Phone
(520) 324-7200
Fax
(520) 324-7201
NPI assigned
Apr 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X ME126330 FL
Pediatric Pulmonology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0214X 54966 AZ Primary

Addresses

Primary practice location

5300 E Erickson Dr Ste 100
Tucson, AZ 85712

Mailing address

4881 E Grant Rd Ste 201
Tucson, AZ 85712-2704

Other identifiers 1

IdentifierTypeStateIssuer
321781MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, TN2 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

Enrollment IDStateProvider typePAC IDDetails
I20220826002745 ND Practitioner - Pediatric MedicinePractitioner - Pulmonary Disease 8022376995 Reassigns benefits to 1 organization
I20250923002833 TN Practitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 8022376995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Pulmonary Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

2801 University Dr S
Fargo, ND 58103-6029
Phone (701) 234-5673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74136TNMDRegistered Nurse
ME126330FLMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo Multi-Specialty CurrentSince Jun 13, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jun 13, 2022 Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients

Locations

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

850 Poplar Ave
Bldg 2
Memphis, TN 38105
Phone (901) 287-5594

848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437

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": "1302998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1104116755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 E GRANT RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 E ERICKSON DR STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-324-7200",
            "fax_number": "520-324-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVEZ",
        "first_name": "CHIARINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-17",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "FL",
            "license": "ME126330",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "AZ",
            "license": "54966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321781",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.