Active NPI
Jeremy Clyde Racey, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- R70375
- Practice address
- 6200 N la Cholla Blvd
Tucson, AZ 85741-3529 - Phone
- (520) 469-8014
- Fax
- (520) 469-8009
- NPI assigned
- Jul 23, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | R70375 | AZ | Primary |
Addresses
Primary practice location
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Mailing address
7580 N la Cholla Blvd
Tucson, AZ 85741-2307
Phone (520) 547-2517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.62 of 100
- Quality
- 92.03
- Improvement activities
- 40
- Cost
- 85.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R70375 | AZ | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Emergency Associates LLC | Current | Accepting new patients | |
| Comal Emergency Physicians, PLLC | Current | Accepting new patients | |
| Longhorn Emergency Medical Associates PA | Current | Accepting new patients | |
| Acs Primary Care Physicians Southwest, PA | Current | Accepting new patients | |
| Northwest Tucson Emergency Physicians, PC | Past | Accepting new patients |
Locations
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
15610 S Ih 35
Buda, TX 78610
Phone (512) 447-2211
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021
1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979
506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- San Marcos, TX
- NPI 1588438675
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
- Emergency Medicine Physician
- Victoria, TX
- NPI 1407917164
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1932162039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1144450131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7580 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412307",
"telephone_number": "520-547-2517",
"fax_number": "520-547-2518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413529",
"telephone_number": "520-469-8014",
"fax_number": "520-469-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACEY",
"first_name": "JEREMY",
"middle_name": "CLYDE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-23",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "AZ",
"license": "R70375",
"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 Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.