Robert Beren, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18791 Issued in AZ

Practice address

4821 N Stone Ave
Tucson, AZ 85704-5727

Phone

(520) 409-4299

Fax

(520) 293-1957

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Carelon Medical Partners of Arizona, P.C.

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1972879773
  NPD (past)
• Family Practice Outreach, Inc

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1639344591
  NPD (past)
• Palo Verde Homecare, LLC

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1023286150
  NPD (past)
• Carelon Medical Partners of Arizona, P.C.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1730697483

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1295810653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-977-4674",
            "fax_number": "562-741-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 N STONE AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045727",
            "telephone_number": "520-409-4299",
            "fax_number": "520-293-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEREN",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "18791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689877",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie Ann Benway, RN
• Elizabeth Mary Benyo, A-GNPC
• Elizabeth Benzie, APRN, FNP-C
• Cynthia S Berardinelli, ACP, NNP
• Dorice D Beren, RN
• Bryn Nisbet Berens, MD
• Eric Scott Berens, MD
• Robert J. Berens, M.D.
• Cynthia Abigail Berezowski
• Logan E Berg, PTA

• Family Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.