Individual provider Active NPI

Preston J Smith, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Tucson, AZ
National Provider Identifier
1275821167
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
54381 Issued in AZ
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

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170719002109 AZ Practitioner - Orthopedic SurgeryPractitioner - General Surgery 8628356524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: General Surgery
Education
Ohio State University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

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

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement15
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

LicenseStateTypeSpecialty
54381AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Jan 6, 2024 Accepting new patients
Arizona Community Surgeons PC Orthopaedic Surgery CurrentSince Sep 1, 2017 Accepting new patients
Valley ENT, PC Past Accepting new patients
Saguaro Physicians, LLC Orthopaedic Surgery PastSince Oct 1, 2007 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.