NPIMap

Individual provider Active NPI

Lydia A Raney, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1114374006
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
76816 Issued in AZ
Practice address
707 N Alvernon Way Ste 101
Tucson, AZ 85711-1830
Phone
(520) 694-8888
Fax
(520) 694-1640
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD194566 OR
Family Medicine Physician 207Q00000X 76816 AZ Primary

Addresses

Primary practice location

707 N Alvernon Way Ste 101
Tucson, AZ 85711-1830

Mailing address

1502 N Campbell Ave
Tucson, AZ 85724-0001
Phone (520) 694-8888

Other names 1

  • Lydia Cervantes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190807003971 OR Practitioner - Family Practice 4688955701
I20250804002420 AZ Practitioner - Family Practice 4688955701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
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)

707 N Alvernon Way
Suite 201
Tucson, AZ 85711-1847
Phone (520) 874-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76816AZMDFamily Medicine Physician
MD194566ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc Current Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Nov 1, 2025 Accepting new patients
Banner-University Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Banner-University Medical Group Family Medicine Current Accepting new patients
Banner-University Medical Group CurrentSince Sep 1, 2025 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients
Banner - University Medical Center Tucson Campus LLC Past Accepting new patients

Locations

1625 N Campbell Ave
Tucson, AZ 85719

707 N Alvernon Way
Ste 201
Tucson, AZ 85711
Phone (520) 694-1725

3950 S Country Club Rd
Ste 130
Tucson, AZ 85714
Phone (520) 874-2778

707 N Alvernon Way
Ste 101
Tucson, AZ 85711
Phone (520) 694-1611

707 N Alvernon Way
Ste 10
Tucson, AZ 85711

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

707 N Alvernon Way
Ste 20
Tucson, AZ 85711

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

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1114374006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857240001",
            "telephone_number": "520-694-8888",
            "fax_number": "520-694-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N ALVERNON WAY STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111830",
            "telephone_number": "520-694-8888",
            "fax_number": "520-694-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANEY",
        "first_name": "LYDIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD194566",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "76816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "CERVANTES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.