Individual provider Active NPI

Shelli Hanks, MD

  • Radiation Oncology Physician
  • Tucson, AZ
National Provider Identifier
1225201395
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
32019 Issued in AZ
Practice address
5670 N Professional Park Dr
Ste120
Tucson, AZ 85704-7878
Phone
(520) 618-6445
Fax
(520) 743-5443
NPI assigned
Apr 9, 2008
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 32019 AZ Primary

Addresses

Primary practice location

5670 N Professional Park Dr
Ste120
Tucson, AZ 85704-7878

Mailing address

4811 E Grant Rd
Ste 216
Tucson, AZ 85712-2771
Phone (520) 618-1010

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
I20031126000328 AZ Practitioner - Radiation Oncology 3375447733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of California, Davis School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Urology Specialists PLLCGroup PAC ID 5092863852, 84 clinicians

Practice addresses (Care Compare)

2530 E Southern Ave
Mesa, AZ 85204-5411
Phone (602) 222-1900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Urology Specialists, PLLC CurrentSince Jul 1, 2021 Accepting new patients
Arizona Urology Specialists, PLLC CurrentSince Sep 1, 2022 Accepting new patients
Foothills Urology, PC Current Accepting new patients

Locations

2530 E Southern Ave
Mesa, AZ 85204
Phone (480) 834-4188

1521 E Tangerine Rd
Ste 209
Oro Valley, AZ 85755
Phone (520) 545-0573

5670 N Professional Park Dr
Tucson, AZ 85704
Phone (520) 618-6445

5670 N Professional Park Dr
Ste 100
Tucson, AZ 85704

5670 N Professional Park Dr
Ste 120
Tucson, AZ 85704
Phone (520) 614-0824

6325 E Tanque Verde Rd
Tucson, AZ 85715
Phone (602) 795-5830

Interoperability endpoints

  • Direct secure messaging: shellihanks@fu.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1225201395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 E GRANT RD",
            "address_2": "STE 216",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122771",
            "telephone_number": "520-618-1010",
            "fax_number": "520-784-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 N PROFESSIONAL PARK DR",
            "address_2": "STE120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047878",
            "telephone_number": "520-618-6445",
            "fax_number": "520-743-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "SHELLI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "32019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.