Active NPI
Sara Itzel Shoushtari, MD
- Ophthalmology Physician
- Tucson, AZ
National Provider Identifier
1144018557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- R81603
- Practice address
- 707 N Alvernon Way
Tucson, AZ 85711-1827 - Phone
- (520) 694-1460
- Fax
- (520) 694-1464
- NPI assigned
- Apr 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | R81603 | AZ | Primary |
Addresses
Primary practice location
707 N Alvernon Way
Tucson, AZ 85711-1827
Mailing address
707 N Alvernon Way
Tucson, AZ 85711-1827
Phone (520) 694-1460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R81603 | AZ | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745625600000",
"number": "1144018557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 N ALVERNON WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111827",
"telephone_number": "520-694-1460",
"fax_number": "520-694-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N ALVERNON WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111827",
"telephone_number": "520-694-1460",
"fax_number": "520-694-1464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOUSHTARI",
"first_name": "SARA",
"middle_name": "ITZEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-26",
"last_updated": "2025-04-26",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "R81603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.