Individual provider Active NPI

Mark T. Yoshino, MD

  • Diagnostic Radiology Physician
  • Tucson, AZ
National Provider Identifier
1295787182
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14912 Issued in AZ
Practice address
1980 W Hospital Dr
Suite 204
Tucson, AZ 85704-7802
Phone
(520) 547-0433
Fax
(520) 547-0435
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 14912 AZ Primary

Addresses

Primary practice location

1980 W Hospital Dr
Suite 204
Tucson, AZ 85704-7802

Mailing address

1980 W Hospital Dr
Suite 204
Tucson, AZ 85704-7802
Phone (520) 547-0433

Other identifiers 1

IdentifierTypeStateIssuer
277005MedicaidAZ

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
I20040518001081 AZ Practitioner - Diagnostic Radiology 0840281051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona State Radiology, PC Diagnostic Radiology Past Accepting new patients
Simonmed Imaging, Incorporated Diagnostic Radiology Past Accepting new patients
Smi Imaging, LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1295787182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 W HOSPITAL DR",
            "address_2": "SUITE 204",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047802",
            "telephone_number": "520-547-0433",
            "fax_number": "520-547-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 W HOSPITAL DR",
            "address_2": "SUITE 204",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047802",
            "telephone_number": "520-547-0433",
            "fax_number": "520-547-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHINO",
        "first_name": "MARK",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "14912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277005",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.