Individual provider Active NPI

Monica S Moore, M.D.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1275513319
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40510 Issued in AZ
Practice address
9356 E Rita Rd
Suite 180
Tucson, AZ 85747-6315
Phone
(520) 324-4499
Fax
(520) 324-4492
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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 40510 AZ Primary

Addresses

Primary practice location

9356 E Rita Rd
Suite 180
Tucson, AZ 85747-6315

Mailing address

PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 324-4100

Other practice location 1

9356 E Rita Rd Ste 100
Tucson, AZ 85747-6316
Phone (520) 324-8621

Other practice location 2

10350 E Drexel Rd Unit 110
Tucson, AZ 85747-9409
Phone (520) 324-1727

Other practice location 3

70 N Harrison Rd
Tucson, AZ 85748-3260
Phone (520) 324-4403

Other identifiers 1

IdentifierTypeStateIssuer
346730MedicaidAZ

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
I20080711000195 AZ Practitioner - Family Practice 4880791151 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Jan 1, 2018 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

9348 E Rita Rd
Ste 100
Tucson, AZ 85747
Phone (520) 324-4760

9348 E Rita Rd
Ste 180
Tucson, AZ 85747
Phone (520) 324-4499

10350 E Drexel Rd
Unit 110
Tucson, AZ 85747
Phone (520) 324-1727

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

70 N Harrison Rd
Tucson, AZ 85748
Phone (520) 324-4403

9356 E Rita Rd
Ste 100
Tucson, AZ 85747
Phone (520) 322-8361

9356 E Rita Rd
Ste 180
Tucson, AZ 85747
Phone (520) 324-4499

4881 E Grant Rd
Ste 201
Tucson, AZ 85712
Phone (520) 324-2414

2424 N Wyatt Dr
Ste 100
Tucson, AZ 85712
Phone (520) 324-2778

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1275513319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-4100",
            "fax_number": "520-324-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9356 E RITA RD",
            "address_2": "SUITE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857476315",
            "telephone_number": "520-324-4499",
            "fax_number": "520-324-4492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9356 E Rita Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857476316",
            "country_code": "US",
            "telephone_number": "520-324-8621",
            "fax_number": "520-324-3935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 E Drexel Rd Unit 110",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479409",
            "country_code": "US",
            "telephone_number": "520-324-1727",
            "fax_number": "520-324-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 N Harrison Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857483260",
            "country_code": "US",
            "telephone_number": "520-324-4403",
            "fax_number": "520-324-1409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MONICA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "40510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346730",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.