Individual provider Active NPI

Shubh Preet Kaur, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Tucson, AZ
National Provider Identifier
1194974519
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
45119 Issued in AZ
Practice address
2380 N Ferguson Ave Ste 104
Tucson, AZ 85712-2837
Phone
(520) 324-1010
Fax
(520) 324-0029
NPI assigned
Sep 9, 2008
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45119 AZ
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 45119 AZ Primary

Addresses

Primary practice location

2380 N Ferguson Ave Ste 104
Tucson, AZ 85712-2837

Mailing address

PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 324-4780

Other identifiers 1

IdentifierTypeStateIssuer
636407MedicaidAZ

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
I20111026000913 AZ Practitioner - EndocrinologyPractitioner - Internal Medicine 0941473557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians
TmconeGroup PAC ID 9234604877, 60 clinicians

Practice addresses (Care Compare)

2380 N Ferguson Ave
Suite 104
Tucson, AZ 85712-2837
Phone (520) 324-1010

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-2308

603 N Wilmot Rd
Suite 151
Tucson, AZ 85711-2701
Phone (520) 420-2560

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Jan 1, 2017 Accepting new patients
Pima Heart Physicians, PC Past Accepting new patients

Locations

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

2424 N Wyatt Dr
Ste 100
Tucson, AZ 85712
Phone (520) 324-2778

4881 E Grant Rd
Ste 200
Tucson, AZ 85712

4881 E Grant Rd
Ste 201
Tucson, AZ 85712
Phone (520) 324-2414

5295 E Knight Dr
Tucson, AZ 85712
Phone (520) 324-1010

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1194974519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-4780",
            "fax_number": "520-324-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 N FERGUSON AVE STE 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122837",
            "telephone_number": "520-324-1010",
            "fax_number": "520-324-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "SHUBH",
        "middle_name": "PREET",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "45119",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "45119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "636407",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.