Individual provider Active NPI

Suresh B Katakkar, M.D.

  • Hematology & Oncology Physician
  • Tucson, AZ
National Provider Identifier
1114923943
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
11471 Issued in AZ
Practice address
1891 W Orange Grove Rd
Tucson, AZ 85704-1116
Phone
(520) 742-4183
Fax
(520) 742-4110
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 11471 AZ Primary

Addresses

Primary practice location

1891 W Orange Grove Rd
Tucson, AZ 85704-1116

Mailing address

1891 W Orange Grove Rd
Tucson, AZ 85704-1116
Phone (520) 742-4183

Other identifiers 1

IdentifierTypeStateIssuer
215336MedicaidAZ

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
I20051004000175 AZ Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2567417686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6241 N Camino Katrina
Tucson, AZ 85718-2837
Phone (520) 548-1618

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11471AZMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Hematology Oncology PC Hematology & Oncology CurrentSince Sep 1, 1992 Accepting new patients
Banner Pharmacy Services LLC Past Accepting new patients

Locations

1891 W Orange Grove Rd
Tucson, AZ 85704
Phone (520) 694-8900

Organizations & group practices 2

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114923943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 W ORANGE GROVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041116",
            "telephone_number": "520-742-4183",
            "fax_number": "520-742-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 W ORANGE GROVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041116",
            "telephone_number": "520-742-4183",
            "fax_number": "520-742-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATAKKAR",
        "first_name": "SURESH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "11471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215336",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.