Individual provider Active NPI

Albert Dy

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1104488493
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227457 Issued in AZ
Practice address
7091 E Speedway Blvd
Tucson, AZ 85710-1241
Phone
(520) 721-5777
NPI assigned
Jul 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 227457 AZ Primary

Addresses

Primary practice location

7091 E Speedway Blvd
Tucson, AZ 85710-1241

Mailing address

7091 E Speedway Blvd
Tucson, AZ 85710-1241
Phone (520) 721-5777

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191224000232 AZ Practitioner - Nurse Practitioner 2163856246 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
227457AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Mar 2, 2023 Accepting new patients
Angels Valley Community Healthcare Center PLLC CurrentSince Oct 24, 2022 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Mar 2, 2023 Accepting new patients

Locations

6739 W Cactus Rd
Peoria, AZ 85381
Phone (623) 240-1110

14820 N Cave Creek Rd
Ste 2
Phoenix, AZ 85032
Phone (202) 455-0013

4821 N Stone Ave
Tucson, AZ 85704
Phone (520) 314-3300

7091 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 402-6092

Interoperability endpoints

  • Direct secure messaging: albert.dy.p4@direct.caremorewest.nextgenshare.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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1104488493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7091 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101241",
            "telephone_number": "520-721-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7091 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101241",
            "telephone_number": "520-721-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DY",
        "first_name": "ALBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "227457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.