Active NPI
Thomas S Headlee, M.D.
- Internal Medicine Physician
- Tucson, AZ
National Provider Identifier
1194711630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 26532
- Practice address
- 1500 N Wilmot Rd
Suite A220
Tucson, AZ 85712-4416 - Phone
- (520) 258-4145
- Fax
- (520) 258-4147
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 26532 | AZ | Primary |
Addresses
Primary practice location
1500 N Wilmot Rd
Suite A220
Tucson, AZ 85712-4416
Mailing address
1200 N El Dorado PL
Suite 670
Tucson, AZ 85715-4637
Phone (520) 751-8280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 454562 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26532 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1194711630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N EL DORADO PL",
"address_2": "SUITE 670",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857154637",
"telephone_number": "520-751-8280",
"fax_number": "520-751-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N WILMOT RD",
"address_2": "SUITE A220",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124416",
"telephone_number": "520-258-4145",
"fax_number": "520-258-4147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEADLEE",
"first_name": "THOMAS",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "26532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "454562",
"state": "AZ"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.