Individual provider Active NPI

Cynthia Carrillo, M.D.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1245675537
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52671 Issued in AZ
Practice address
4578 N 1St Ave Ste 190
Tucson, AZ 85718-5747
Phone
(520) 751-3602
Fax
(520) 547-5761
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52671 AZ Primary

Addresses

Primary practice location

4578 N 1St Ave Ste 190
Tucson, AZ 85718-5747

Mailing address

4801 E Broadway Blvd Ste 251
Tucson, AZ 85711-2700
Phone (520) 327-0460

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
I20160930001044 AZ Practitioner - Family Practice 9638466931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Community Physicians PCGroup PAC ID 4587560552, 162 clinicians

Practice addresses (Care Compare)

6130 N la Cholla Blvd
Suite 100
Tucson, AZ 85741-3589
Phone (520) 742-4159

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037130
  • Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037213
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physician PC CurrentSince Nov 8, 2022 Accepting new patients
Pathways Medical Partners Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Arizona Community Physicians PC Family Medicine CurrentSince Nov 8, 2022 Accepting new patients
Catalina Hospice PLLC Family Medicine PastSince Sep 20, 2020 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center Past Accepting new patients

Locations

6130 N La Cholla Blvd
Ste 117
Tucson, AZ 85741
Phone (520) 207-7434

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

4578 N 1st Ave
Ste 190
Tucson, AZ 85718

6130 N La Cholla Blvd
Ste 100
Tucson, AZ 85741
Phone (520) 742-4159

5880 N La Cholla Blvd
Ste 150
Tucson, AZ 85741
Phone (520) 322-4499

1700 E River Rd
Unit 65177
Tucson, AZ 85728
Phone (520) 635-9103

Interoperability endpoints

  • Direct secure messaging: ccarrillo18125@elrio.direct.ci.com
  • Direct secure messaging: ccarrillo19955@azacp.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1245675537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E BROADWAY BLVD STE 251",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112700",
            "telephone_number": "520-327-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 N 1ST AVE STE 190",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185747",
            "telephone_number": "520-751-3602",
            "fax_number": "520-547-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "CYNTHIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "52671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.