NPIMap

Organization Active NPI

Pima Neurology Inc

  • Neurology Physician
  • Tucson, AZ
National Provider Identifier
1174871917
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PIMA NEUROLOGY INC
Practice address
400 W Magee Rd
Tucson, AZ 85704-6438
Phone
(520) 638-5553
Fax
(520) 638-5543
NPI assigned
Aug 28, 2012
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Moeen Ud Din, M.D.NPI 1598712259
Title
President
Phone
(520) 638-5553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

400 W Magee Rd
Tucson, AZ 85704-6438

Mailing address

400 W Magee Rd
Tucson, AZ 85704-6438
Phone (520) 638-5553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121119000580 AZ Part B Supplier - Clinic/Group Practice 9436300506 Receives reassigned benefits from 3 practitioners
Practice locations: Green Valley, AZ; Nogales, AZ; Sierra Vista, AZ; Tucson, AZ

National Provider Directory

National Provider Directory

Locations

400 W Magee Rd
Tucson, AZ 85704
Phone (520) 623-5553

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1174871917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAGEE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046438",
            "telephone_number": "520-638-5553",
            "fax_number": "520-638-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAGEE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046438",
            "telephone_number": "520-638-5553",
            "fax_number": "520-638-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMA NEUROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "DIN",
        "authorized_official_first_name": "MOEEN",
        "authorized_official_middle_name": "UD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-638-5553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "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 Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.