Individual provider Active NPI

Steven M Rayle, M.D.

  • Emergency Medicine Physician
  • Tucson, AZ
National Provider Identifier
1104826478
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17733 Issued in AZ
Practice address
5151 E Broadway Blvd Ste 1600
Tucson, AZ 85711-3777
Phone
(520) 314-1545
Fax
(520) 300-7326
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17733 AZ Primary

Addresses

Primary practice location

5151 E Broadway Blvd Ste 1600
Tucson, AZ 85711-3777

Mailing address

6890 E Sunrise Dr # 120-305
Tucson, AZ 85750-0738
Phone (520) 314-1545

Other identifiers 1

IdentifierTypeStateIssuer
012914MedicaidAZ

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
I20050106000666 AZ Practitioner - Geriatric MedicinePractitioner - Family Practice 3971551904 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Medical Centers, LLC CurrentSince Jan 1, 2017 Accepting new patients
Urgent Care Associates Past Accepting new patients
Soulistic Medical Institute Past Accepting new patients
Emergency Room Associates Past Accepting new patients
Emergency Room Associates Limited Emergency Medicine Past Accepting new patients
Northwest Hospital LLC Emergency Medicine Past Accepting new patients

Locations

6390 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 284-7949

5350 E Erickson Dr
Tucson, AZ 85712
Phone (520) 624-8935

5390 E Erickson Dr
Tucson, AZ 85712
Phone (520) 314-1545

Interoperability endpoints

  • Direct secure messaging: stevenrayle@qlmc.directglo.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aria Hospice Comfort CareTucson, AZ, CCN 031599 Hospice W-2 Managing Employee Oct 6, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1104826478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6890 E SUNRISE DR # 120-305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500738",
            "telephone_number": "520-314-1545",
            "fax_number": "520-300-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY BLVD STE 1600",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113777",
            "telephone_number": "520-314-1545",
            "fax_number": "520-300-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYLE",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "17733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012914",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.