NPIMap

Individual provider Active NPI

Evelinda Dominique Gonzales-Pryor, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1265875603
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54024 Issued in AZ
Practice address
707 N Alvernon Way Ste 101
Tucson, AZ 85711-1830
Phone
(520) 694-8888
Fax
(520) 694-1640
NPI assigned
Apr 16, 2013
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2016-0669 NM
Family Medicine Physician 207Q00000X 54024 AZ Primary

Addresses

Primary practice location

707 N Alvernon Way Ste 101
Tucson, AZ 85711-1830

Mailing address

707 N Alvernon Way Ste 101
Tucson, AZ 85711-1830
Phone (520) 694-8888

Other identifiers 1

IdentifierTypeStateIssuer
72727853MedicaidNM

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
I20180227000109 AZ Practitioner - Family Practice 1052544327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54024AZMDFamily Medicine Physician
MD2016-0669NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest HBP Medical Services LLC Hospitalist CurrentSince Sep 14, 2025 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jul 1, 2022 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jul 1, 2022 Accepting new patients
Banner - University Medical Center South Campus LLC Past Accepting new patients

Locations

3950 S Country Club Rd
Ste 130
Tucson, AZ 85714
Phone (520) 874-2778

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

Organizations & group practices 4

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 5

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1265875603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N ALVERNON WAY STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111830",
            "telephone_number": "520-694-8888",
            "fax_number": "520-694-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N ALVERNON WAY STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111830",
            "telephone_number": "520-694-8888",
            "fax_number": "520-694-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES-PRYOR",
        "first_name": "EVELINDA",
        "middle_name": "DOMINIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2016-0669",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "54024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72727853",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.