Individual provider Active NPI

James Patrick Keleher, DC

  • Nutrition Chiropractor
  • Tucson, AZ
National Provider Identifier
1285723015
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
4598 Issued in AZ
Practice address
6145 E 5TH St
Tucson, AZ 85711-2505
Phone
(520) 745-1611
Fax
(520) 745-7846
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 4598 AZ Primary
Acupuncturist 171100000X AZ

Addresses

Primary practice location

6145 E 5TH St
Tucson, AZ 85711-2505

Mailing address

601 N Rook Ave
Tucson, AZ 85711-1630
Phone (520) 745-2002

Other identifiers 2

IdentifierTypeStateIssuer
AZ0234480OtherAZBLUECROSS/BLUESHIELD
WC28100310OtherAZWORKERSCOMPENSATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001059 AZ Practitioner - Chiropractic 9436135431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 N Swan Rd
Tucson, AZ 85711-1215
Phone (520) 745-1611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4598AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
5TH Street Associates, Inc Nutrition CurrentSince Apr 19, 2004 Accepting new patients
Aligned Health Chiropractor Past Accepting new patients

Locations

1001 N Swan Rd
Tucson, AZ 85711
Phone (520) 323-7133

6145 E 5th St
Tucson, AZ 85711
Phone (520) 272-8375

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1285723015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N ROOK AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111630",
            "telephone_number": "520-745-2002",
            "fax_number": "520-745-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112505",
            "telephone_number": "520-745-1611",
            "fax_number": "520-745-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELEHER",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "AZ",
            "license": "4598",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "AZ0234480",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERSCOMPENSATION",
            "identifier": "WC28100310",
            "state": "AZ"
        }
    ],
    "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 Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.