Active NPI
Preston J Smith, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 54381
- Practice address
- 630 N Alvernon Way Ste 351
Tucson, AZ 85711-1838 - Phone
- (520) 881-2600
- Fax
- (520) 881-2844
- NPI assigned
- Jul 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 54381 | AZ | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 54381 | AZ |
Addresses
Primary practice location
630 N Alvernon Way Ste 351
Tucson, AZ 85711-1838
Mailing address
630 N. Alvernon Way, Suite 351
Tucson, AZ 85711
Phone (520) 881-2600
Other practice location 1
1150 N El Dorado Pl Unit 6147
Tucson, AZ 85715-4620
Phone (614) 859-9220
Other practice location 2
10350 E Drexel Rd Suite 220
Tucson, AZ 85747-1838
Phone (520) 324-1727
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Ohio State University College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10350 E Drexel Rd
Unit 120
Tucson, AZ 85747-9409
Phone (520) 420-2280
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 15 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54381 | AZ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC Medical Network | Current | Accepting new patients | |
| Arizona Community Surgeons PC | Orthopaedic Surgery | Current | Accepting new patients |
| Valley ENT, PC | Past | Accepting new patients | |
| Saguaro Physicians, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
9348 E Rita Rd
Ste 100
Tucson, AZ 85747
Phone (520) 324-4760
4539 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 750-7255
2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010
10350 E Drexel Rd
Unit 120
Tucson, AZ 85747
Phone (520) 420-2280
6506 E Carondelet Dr
Bldg A
Tucson, AZ 85710
Phone (520) 885-6717
10350 E Drexel Rd
Ste 220
Tucson, AZ 85747
Phone (520) 324-1727
630 N Alvernon Way
Ste 351
Tucson, AZ 85711
Phone (520) 881-2600
2141 N Beverly Ave
Ste 101
Tucson, AZ 85712
Phone (520) 324-6290
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
-
- Otolaryngology Physician
- Scottsdale, AZ
- NPI 1508990185
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Benson, AZ
- NPI 1336118322
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1275821167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 N. ALVERNON WAY, SUITE 351",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85711",
"telephone_number": "520-881-2600",
"fax_number": "520-881-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 N ALVERNON WAY STE 351",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111838",
"telephone_number": "520-881-2600",
"fax_number": "520-881-2844"
}
],
"practiceLocations": [
{
"address_1": "1150 N El Dorado Pl Unit 6147",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857154620",
"country_code": "US",
"telephone_number": "614-859-9220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10350 E Drexel Rd Suite 220",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857471838",
"country_code": "US",
"telephone_number": "520-324-1727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "PRESTON",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-13",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "AZ",
"license": "54381",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "54381",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.