Kristopher Joseph Sergeant Abbate, MD
Individual provider Active NPI Internal Medicine Physician · Tucson, AZ
NPI 1184112401 · NPPES record last updated Nov 13, 2024
Key facts
- NPI
- 1184112401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 66491 (AZ)
- Practice address
- 1625 N Campbell Ave
Tucson, AZ 85719-4330 - Phone
- (520) 694-8888
- NPI assigned
- Apr 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Arizona College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner-University Medical Group
Practice addresses (Care Compare)
7901 E 22ND St
Tucson, AZ 85710-8509
Phone (520) 694-5437
Hospital & facility affiliations
- Tucson Medical Home Health
- Banner-University Medical Center South Campus
- Banner - University Medical Center Tucson Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220817002628 | AZ | Practitioner - Internal Medicine | 0345598389 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Family Medicine | Current | Accepting new patients |
| Banner-University Medical Group | Current |
Accepting new patients | |
| Banner-University Medical Group | Current |
Accepting new patients | |
| Banner - University Medical Center Tucson Campus LLC | Past | Accepting new patients |
Locations
265 W Ina Rd
Tucson, AZ 85704
Phone (520) 694-8000
2167 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 544-7650
7901 E 22nd St
Tucson, AZ 85710
Phone (520) 694-8400
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
1625 N Campbell Ave
Tucson, AZ 85719
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
2800 E Ajo Way
Bldg 100
Tucson, AZ 85713
Phone (520) 419-5820
1501 N Campbell Ave
Tucson, AZ 85724
Phone (520) 626-7747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 66491 | AZ | |
| Internal Medicine Physician | 207R00000X | 66491 | AZ | Yes |
Addresses
Primary practice location
1625 N Campbell Ave
Tucson, AZ 85719-4330
Mailing address
PO Box 245035 1501 N Campbell Ave
Tucson, AZ 85724-0001
Other providers in Tucson, AZ
- Sharla Abalos
- Jessica Mae Abanes
- Jacquelin Abarca
- Alisha Abbas
- Samia Gasim Abbas
- Michelle Abbate
- Emma Abbey
- Gail Abbey
- Taana Ann Abbitt
- Abbott Hearing Centers of Tucson
All providers in Tucson, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.