Individual provider Active NPI

Allen Paul Miraflor, M.D.

  • Dermatopathology (Pathology) Physician
  • Tucson, AZ
National Provider Identifier
1144587098
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
68605 Issued in AZ
Practice address
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone
(520) 694-0111
Fax
(520) 626-2521
NPI assigned
Apr 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X A152557 CA
Dermatopathology (Pathology) Physician 207ZD0900X 68605 AZ Primary

Addresses

Primary practice location

1625 N Campbell Ave
Tucson, AZ 85719-4330

Mailing address

PO Box 245106
Tucson, AZ 85724-5106
Phone (520) 694-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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
I20231002003143 CA Practitioner - Pathology 8426355496 Reassigns benefits to 1 organization
I20251014002754 AZ Practitioner - Pathology 8426355496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Tulane University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

2420 Samaritan Dr
San Jose, CA 95124-3907
Phone (408) 369-5600

Hospital & facility affiliations

  • Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A152557CAMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy F. Richardson, M.D., a Medical Corporation Current Accepting new patients
Banner-University Medical Group Anatomic Pathology & Clinical Pathology CurrentSince Nov 24, 2025 Accepting new patients
Csi Medical Group CurrentSince Nov 15, 2023 Accepting new patients
David B. Friedman, MD, Inc Current Accepting new patients
Banner-University Medical Group CurrentSince Nov 24, 2025 Accepting new patients
K. D. Macknet, M.D., Inc. Dermatopathology Current Accepting new patients
County of Santa Clara Past Accepting new patients
Carlsbad and Vista Dermatology, Inc. PastSince Jul 1, 2017 Accepting new patients

Locations

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1625 N Campbell Ave
Tucson, AZ 85719

501 S Shore Ctr W
Ste 103A
Alameda, CA 94501
Phone (510) 227-7028

1165 N Euclid St
Anaheim, CA 92801
Phone (714) 991-9990

1620 E Second St
Ste N
Beaumont, CA 92223
Phone (951) 845-6500

9675 Brighton Way
Ste 350
Beverly Hills, CA 90210
Phone (310) 205-5557

1030 Sir Francis Drake Blvd
Ste 110
Kentfield, CA 94904
Phone (415) 461-1036

25815 Barton Rd
Ste 101
Loma Linda, CA 92354
Phone (909) 796-0224

1524 McHenry Ave
Ste 470
Modesto, CA 95350
Phone (209) 525-8292

9781 Blue Larkspur Ln
Ste 100
Monterey, CA 93940
Phone (831) 333-9008

525 South Dr
Ste 115
Mountain View, CA 94040
Phone (408) 369-5600

1700 N Rose Ave
Ste 450
Oxnard, CA 93030
Phone (805) 201-2821

36867 Cook St
Ste 101
Palm Desert, CA 92211
Phone (760) 341-1999

909 Hyde St
Ste 419
San Francisco, CA 94109
Phone (415) 678-5887

2420 Samaritan Dr
San Jose, CA 95124
Phone (408) 369-5600

136 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 348-1242

3562 Round Barn Cir
Ste 320
Santa Rosa, CA 95403
Phone (707) 578-1900

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

1934 Via Ctr
Ste B
Vista, CA 92081
Phone (760) 295-2299

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1144587098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245106",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245106",
            "telephone_number": "520-694-0111",
            "fax_number": "520-626-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194330",
            "telephone_number": "520-694-0111",
            "fax_number": "520-626-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAFLOR",
        "first_name": "ALLEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-17",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A152557",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AZ",
            "license": "68605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.