Individual provider Active NPI

Kimberly Karin Tucker, M.D.

  • Orthopaedic Surgery Physician
  • Oro Valley, AZ
National Provider Identifier
1295906790
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
80868 Issued in AZ
Practice address
1521 E Tangerine Rd Ste 337
Oro Valley, AZ 85755-6223
Phone
(520) 901-6380
Fax
(520) 901-6381
NPI assigned
Mar 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 80868 AZ Primary

Addresses

Primary practice location

1521 E Tangerine Rd Ste 337
Oro Valley, AZ 85755-6223

Mailing address

1521 E Tangerine Rd Ste 337
Oro Valley, AZ 85755-6223
Phone (520) 901-6380

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.tucker.1@1576.direct.athenahealth.com

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
I20090908000521 AZ Practitioner - Orthopedic Surgery 6800961665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arizona College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

Hospital & facility affiliations

  • Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064
  • Banner-University Medical Center South Campus Hospital, Tucson, AZ, CCN 030111

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80868AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group Orthopaedic Surgery Current Accepting new patients
Banner-University Medical Group CurrentSince Jun 26, 2023 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Oct 15, 2010 Accepting new patients
Banner-University Medical Group CurrentSince Jun 26, 2023 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Oct 15, 2010 Accepting new patients
Orthopaedic Associates, PA Past Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Orthopaedic Surgery Past Accepting new patients
Orthopaedic Associates, PA Orthopaedic Surgery Past Accepting new patients

Locations

1521 E Tangerine Rd
Ste 337
Oro Valley, AZ 85755
Phone (520) 825-0300

1521 E Tangerine Rd
Ste 255
Oro Valley, AZ 85755

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

1521 E Tangerine Rd
Ste 101
Oro Valley, AZ 85755
Phone (520) 219-2879

265 W Ina Rd
Tucson, AZ 85704
Phone (520) 694-8000

4001 E Sunrise Dr
Ste 161
Tucson, AZ 85718
Phone (520) 232-5280

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

63701 E Saddlebrooke Blvd
Ste F
Tucson, AZ 85739
Phone (520) 606-4911

1871 W Orange Grove Rd
Ste 135
Tucson, AZ 85704
Phone (520) 229-9600

6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741

2800 E Ajo Way
Bldg 200
Tucson, AZ 85713
Phone (520) 874-2000

4001 E Sunrise Dr
Ste 181
Tucson, AZ 85718
Phone (520) 232-5280

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

Interoperability endpoints

  • Direct secure messaging: kimberly.tucker.1@1576.direct.athenahealth.com

Organizations & group practices 8

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 4

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": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1295906790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E TANGERINE RD STE 337",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556223",
            "telephone_number": "520-901-6380",
            "fax_number": "520-901-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 E TANGERINE RD STE 337",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556223",
            "telephone_number": "520-901-6380",
            "fax_number": "520-901-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KIMBERLY",
        "middle_name": "KARIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "80868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.tucker.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1521 E Tangerine Rd Ste 337",
            "city": "Oro Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857556223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.