Individual provider Active NPI

David R Siegel, M.D.

  • Neurology Physician
  • Tucson, AZ
National Provider Identifier
1225018559
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
16104 Issued in AZ
Practice address
6567 E Carondelet Dr Ste 305
Tucson, AZ 85710-2156
Phone
(520) 881-8400
Fax
(520) 881-6563
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 16104 AZ Primary

Addresses

Primary practice location

6567 E Carondelet Dr Ste 305
Tucson, AZ 85710-2156

Mailing address

6567 E Carondelet Dr Ste 305
Tucson, AZ 85710-2156
Phone (520) 881-8400

Other identifiers 1

IdentifierTypeStateIssuer
258328MedicaidAZ

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
I20090828000141 AZ Practitioner - Neurology 0244385144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, Geffen School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmot Primary Care Group, PLLCGroup PAC ID 5395967301, 3 clinicians
Associated Internists of Tucson PLLCGroup PAC ID 1759349988, 7 clinicians

Practice addresses (Care Compare)

603 N Wilmot Rd
Tucson, AZ 85711-2701
Phone (520) 790-1556

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Internists of Tucson, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Wilmot Primary Care Group, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Arizona Total Care LLC Family Medicine PastSince Jun 23, 2025 Accepting new patients

Locations

603 N Wilmot Rd
Ste 201
Tucson, AZ 85711
Phone (520) 729-1311

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2611 N Warren Ave
Tucson, AZ 85719
Phone (520) 795-9574

603 N Wilmot Rd
#201
Tucson, AZ 85711
Phone (520) 790-1556

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1225018559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102156",
            "telephone_number": "520-881-8400",
            "fax_number": "520-881-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102156",
            "telephone_number": "520-881-8400",
            "fax_number": "520-881-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "16104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258328",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.