Individual provider Active NPI

Carlos C Huerta, M.D.

  • Emergency Medicine Physician
  • Tucson, AZ
National Provider Identifier
1124028873
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18655 Issued in AZ
Practice address
350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone
(520) 872-7130
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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 18655 AZ Primary

Addresses

Primary practice location

350 N Wilmot Rd
Tucson, AZ 85711-2602

Mailing address

2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 872-7130

Other identifiers 2

IdentifierTypeStateIssuer
133372MedicaidAZ
13337214OtherAHCCCS

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
I20041006001198 AZ Practitioner - Emergency Medicine 7911966825 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Benson Hospital Corporation CurrentSince Aug 27, 2014 Accepting new patients
Nes Arizona Inc Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Nes Arizona Inc Emergency Medicine Current Accepting new patients
Benson Hospital Corporation CurrentSince Aug 27, 2014 Accepting new patients
Emurgent Care PLLC Past Accepting new patients
Emergency Room Associates Limited Emergency Medicine Past Accepting new patients
Stronghold Emergency Physicians Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients
University Physicians Healthcare Past Accepting new patients
Saguaro Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

7300 State Highway 121
Ste 374
McKinney, TX 75070

Organizations & group practices 10

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1124028873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N FORBES BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451412",
            "telephone_number": "520-872-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112602",
            "telephone_number": "520-872-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUERTA",
        "first_name": "CARLOS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "18655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133372",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "13337214",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.