NPIMap

Individual provider Active NPI

Corinne M Self, M.D.

  • Internal Medicine Physician
  • Oro Valley, AZ
National Provider Identifier
1255629762
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R72765 Issued in AZ
Practice address
1846 E Innovation Park Dr
Oro Valley, AZ 85755-1963
Phone
(520) 829-9987
Fax
(833) 989-2161
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R72765 AZ Primary

Addresses

Primary practice location

1846 E Innovation Park Dr
Oro Valley, AZ 85755-1963

Mailing address

1846 E Innovation Park Dr
Oro Valley, AZ 85755-1963

Other names 1

  • Dr. Corinne M Cox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160503000719 AZ Practitioner - Geriatric MedicinePractitioner - Internal Medicine 6901105550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
University of Arizona College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elderhealth PLLCGroup PAC ID 5890105985, 2 clinicians

Practice addresses (Care Compare)

Oro Valley, AZ 85755
Phone (520) 329-2699

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Tucson, AZ, CCN 037248
  • Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037213
  • Amedisys Hospice Hospice, Tucson, AZ, CCN 031501
  • Casa de la Luz Hospice Hospice, Tucson, AZ, CCN 031547
  • Catalina Hospice PLLC Hospice, Tucson, AZ, CCN 031742
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114
  • Splendido at Rancho Vistoso Nursing home, Tucson, AZ, CCN 035273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R72765AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elderhealth PLLC Internal Medicine CurrentSince Oct 13, 2020 Accepting new patients
Med-Consults PLLC Internal Medicine Current Accepting new patients

Locations

1846 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 329-2699

Interoperability endpoints

  • Direct secure messaging: corinne.self.p4@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: corinne.self.1@23082.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23082/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 10

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1255629762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 E INNOVATION PARK DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 E INNOVATION PARK DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963",
            "telephone_number": "520-829-9987",
            "fax_number": "833-989-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "CORINNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R72765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "COX",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.