Individual provider Active NPI

Denise G Crunkleton, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1104856939
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23645 Issued in AZ
Practice address
839 W Congress St
Tucson, AZ 85745-2819
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23645 AZ Primary

Addresses

Primary practice location

839 W Congress St
Tucson, AZ 85745-2819

Mailing address

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Other identifiers 1

IdentifierTypeStateIssuer
23645OtherAZARIZONA MEDICAL BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dcrunkleton@elrio.org

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
I20050512000183 AZ Practitioner - Family Practice 1759321425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince Nov 30, 2012 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Sep 1, 2017 Accepting new patients
Northwest Allied Physicians LLC General Practice CurrentSince Nov 30, 2012 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Sep 1, 2017 Accepting new patients
Northwest Rancho Vistoso Imaging Services LLC Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients

Locations

1295 W Duval Mine Rd
Ste 131
Green Valley, AZ 85614
Phone (520) 399-2027

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

8333 N Silverbell Rd
Tucson, AZ 85743
Phone (520) 202-7700

3870 W River Rd
Ste 126
Tucson, AZ 85741
Phone (520) 209-7000

13101 N Oracle Rd
Tucson, AZ 85739
Phone (520) 320-7999

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

4001 E Sunrise Dr
Ste 121
Tucson, AZ 85718
Phone (520) 209-7000

10120 E Old Vail Rd
Ste 100
Tucson, AZ 85747
Phone (520) 989-8012

Interoperability endpoints

  • Direct secure messaging: dcrunkleton18137@elrio.direct.ci.com

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1104856939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUNKLETON",
        "first_name": "DENISE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "23645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "23645",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dcrunkleton@elrio.org",
            "affiliation": "N",
            "address_1": "839 W Congress St",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857452819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.