Individual provider Active NPI

Jules Pean, MD

  • Cardiovascular Disease Physician
  • Tucson, AZ
National Provider Identifier
1164476602
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
Q1882 Issued in TX
Practice address
1707 W Saint Marys Rd Ste 101
Tucson, AZ 85745-2612
Phone
(520) 622-5912
NPI assigned
May 20, 2006
Reactivated
Oct 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C51988 CA
Cardiovascular Disease Physician 207RC0000X Q1882 TX Primary

Addresses

Primary practice location

1707 W Saint Marys Rd Ste 101
Tucson, AZ 85745-2612

Mailing address

342 Springer Dr
Redding, CA 96003-4533
Phone (859) 583-2667

Other practice location 1

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 622-5833

Other practice location 2

1907 Highway 97 E Ste 230
Jourdanton, TX 78026-1538
Phone (210) 923-7342

Other identifiers 2

IdentifierTypeStateIssuer
P00257630OtherCARAILROAD
00C519880MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ID, AZ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150303001237 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9234037987 Reassigns benefits to 1 organization
I20260508003086 ID Practitioner - Cardiovascular Disease (Cardiology) 9234037987 Reassigns benefits to 1 organization
I20260603004553 AZ Practitioner - Cardiovascular Disease (Cardiology) 9234037987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

1707 W Saint Marys Rd
Suite 101
Tucson, AZ 85745-2612
Phone (520) 396-1370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.78 of 100Reported as group
Quality
80.48
Improvement activities
40
Cost
87.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C51988CAMDCardiovascular Disease Physician
Q1882TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdwatch Medical Corp. CurrentSince Mar 1, 2022 Accepting new patients
Tucson Physician Group Holdings, LLC Internal Medicine CurrentSince May 18, 2026 Accepting new patients
Cardiovascular Specialists PSC Cardiovascular Disease Past Accepting new patients
Munoz Urgent Care Inc PastSince Oct 9, 2022 Accepting new patients
Carondelet Medical Group, Inc Internal Medicine PastSince May 18, 2026 Accepting new patients
Danville Cardiovascular Consultants, PSC Cardiovascular Disease Past Accepting new patients
Stern Cardiovascular Foundation, Inc Cardiovascular Disease Past Accepting new patients
Jam Wellness Clinics Internal Medicine PastSince Jun 27, 2021 Accepting new patients
Mainland Heart Consultants Cardiovascular Disease Past Accepting new patients
Sonora Community Hospital Past Accepting new patients
Delta Cardiovascular Center, PC PastSince Jun 29, 1999 Accepting new patients

Locations

1707 W Saint Marys Rd
Ste 101
Tucson, AZ 85745
Phone (520) 396-1370

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

13280 Evening Creek Dr S
Ste 225
San Diego, CA 92128
Phone (858) 752-9735

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
  • FHIR API: https://api.platform.athenahealth.com/3402/brand/1/csg/1/fhir/r4
  • Direct secure messaging: julespean@syv.allscriptsdirect.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 12

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164476602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 SPRINGER DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034533",
            "telephone_number": "859-583-2667",
            "fax_number": "859-583-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W SAINT MARYS RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452612",
            "telephone_number": "520-622-5912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452623",
            "country_code": "US",
            "telephone_number": "520-622-5833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 Highway 97 E Ste 230",
            "address_purpose": "LOCATION",
            "city": "Jourdanton",
            "state": "TX",
            "postal_code": "780261538",
            "country_code": "US",
            "telephone_number": "210-923-7342",
            "fax_number": "210-923-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEAN",
        "first_name": "JULES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "deactivation_date": "2025-09-10",
        "reactivation_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C51988",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "Q1882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00257630",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C519880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.