Individual provider Active NPI

James Michael Darragh, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1316042500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15413 Issued in AZ
Practice address
265 W Ina Rd
Tucson, AZ 85704-6204
Phone
(520) 694-8100
Fax
(520) 694-8191
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15413 AZ Primary

Addresses

Primary practice location

265 W Ina Rd
Tucson, AZ 85704-6204

Mailing address

655 E River Rd
Tucson, AZ 85704-5840
Phone (520) 694-2700

Other identifiers 1

IdentifierTypeStateIssuer
248022MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190813000235 TX Practitioner - Internal Medicine 8426241076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Carlos Apache Healthcare CorporationGroup PAC ID 0648580597, 147 clinicians

Practice addresses (Care Compare)

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

P O Box
Suite 787
Peridot, AZ 85542-0787

PO Box
Suite 787
Peridot, AZ 85542-0787

Hospital & facility affiliations

  • San Carlos Apache Healthcare Corporation Hospital, Peridot, AZ, CCN 031320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 15, 2019 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 15, 2019 Accepting new patients
Banner -- University Medical Center Tucson Campus LLC Past Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

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.

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316042500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045840",
            "telephone_number": "520-694-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046204",
            "telephone_number": "520-694-8100",
            "fax_number": "520-694-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARRAGH",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "15413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248022",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.