Individual provider Active NPI

David Raschi Schoenbaum, M.D.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1124088927
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AZ35004 Issued in AZ
Practice address
1460 W Valencia Rd
Tucson, AZ 85746-6001
Phone
(520) 573-0966
Fax
(520) 573-3930
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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 AZ35004 AZ Primary

Addresses

Primary practice location

1460 W Valencia Rd
Tucson, AZ 85746-6001

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

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
I20080820000347 AZ Practitioner - Family Practice 9436100054 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AZ35004AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince Dec 1, 2016 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Jun 1, 2016 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Jun 1, 2016 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Dec 1, 2016 Accepting new patients
Putnam County Rural Health Clinic, Inc Past Accepting new patients
Mary Hitchcock Memorial Hospital Past Accepting new patients
Dartmouth-Hitchcock Clinic Past Accepting new patients

Locations

695 S Pecan Tree Ln
Green Valley, AZ 85614
Phone (520) 625-8116

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

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

1669 W Ina Rd
Ste 101
Tucson, AZ 85704
Phone (520) 573-0966

1669 W Ina Rd
Ste 141
Tucson, AZ 85704
Phone (520) 795-6183

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

Organizations & group practices 7

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1124088927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466001",
            "telephone_number": "520-573-0966",
            "fax_number": "520-573-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENBAUM",
        "first_name": "DAVID",
        "middle_name": "RASCHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AZ35004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.