Individual provider Active NPI

Teresa Preciado, MD

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1174655856
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A66721 Issued in CA
Practice address
101 W Irvington Rd
Tucson, AZ 85714-3050
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A66721 CA Primary

Addresses

Primary practice location

101 W Irvington Rd
Tucson, AZ 85714-3050

Mailing address

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100324000788 AZ Practitioner - Pediatric Medicine 8628012481 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66721CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jun 1, 2010 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Nov 30, 2012 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jun 1, 2010 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Nov 30, 2012 Accepting new patients
Northwest Hospital LLC Pediatrics Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center Past Accepting new patients

Locations

320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

225 W Irvington Rd
Tucson, AZ 85714
Phone (520) 670-3857

13101 N Oracle Rd
Tucson, AZ 85739
Phone (520) 320-7999

101 W Irvington Rd
Bldg 3C
Tucson, AZ 85714
Phone (520) 573-0096

4001 E Sunrise Dr
Ste 121
Tucson, AZ 85718
Phone (520) 209-7000

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316

101 W Irvington Rd
Tucson, AZ 85714
Phone (520) 573-0096

1500 W Commerce Ct
Bldg 12
Tucson, AZ 85746

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

8333 N Silverbell Rd
Tucson, AZ 85743
Phone (520) 202-7700

6950 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 309-3250

Interoperability endpoints

  • Direct secure messaging: tpreciado18280@elrio.direct.ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1174655856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W IRVINGTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857143050",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRECIADO",
        "first_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A66721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.