Individual provider Active NPI

Michael Ori, MD

  • Emergency Medicine Physician
  • Tucson, AZ
National Provider Identifier
1134484199
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
50421 Issued in AZ
Practice address
4934 E 12TH St
Tucson, AZ 85711-3606
Phone
(520) 425-3112
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 50421 AZ Primary
Medical Toxicology (Emergency Medicine) Physician 207PT0002X 50421 AZ

Addresses

Primary practice location

4934 E 12TH St
Tucson, AZ 85711-3606

Mailing address

4934 E 12TH St
Tucson, AZ 85711-3606
Phone (520) 425-3112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150710001877 AZ Practitioner - Emergency Medicine 3971815481 Reassigns benefits to 3 organizations
I20191211001465 TX Practitioner - Emergency Medicine 3971815481 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Benson Hospital Corporation CurrentSince Jul 1, 2017 Accepting new patients
Cep America-Arizona LLP Emergency Medicine CurrentSince Oct 10, 2024 Accepting new patients
Benson Hospital Corporation CurrentSince Jul 1, 2017 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Sep 30, 2019 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Sep 30, 2019 Accepting new patients

Locations

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

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

7401 S Wilmot Rd
Tucson, AZ 85756
Phone (520) 493-0499

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134484199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 E 12TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113606",
            "telephone_number": "520-425-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 E 12TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113606",
            "telephone_number": "520-425-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORI",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "50421",
            "primary": true
        },
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "AZ",
            "license": "50421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.