Individual provider Active NPI

Mark Ira Feldman, M.D.

  • Cardiovascular Disease Physician
  • Tucson, AZ
National Provider Identifier
1356334957
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5756 Issued in AZ
Practice address
3801 N Campbell Ave
Suite C
Tucson, AZ 85719-1448
Phone
(520) 327-3644
Fax
(520) 327-4867
NPI assigned
Aug 30, 2005
Reactivated
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5756 AZ Primary

Addresses

Primary practice location

3801 N Campbell Ave
Suite C
Tucson, AZ 85719-1448

Mailing address

3801 N Campbell Ave
Suite C
Tucson, AZ 85719-1448
Phone (520) 327-3644

Other identifiers 1

IdentifierTypeStateIssuer
281543MedicaidAZ

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
I20051031000128 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486671369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1967
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2990 N Campbell Ave
Suite 210
Tucson, AZ 85719-2993

2990 N Campbell Ave
Suite 210
Tucson, AZ 85719-2995
Phone (520) 327-3644

3801 N Campbell Ave
Suite C
Tucson, AZ 85719-1448

National Provider Directory

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

Organizations & group practices 1

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1356334957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N CAMPBELL AVE",
            "address_2": "SUITE C",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191448",
            "telephone_number": "520-327-3644",
            "fax_number": "520-327-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N CAMPBELL AVE",
            "address_2": "SUITE C",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191448",
            "telephone_number": "520-327-3644",
            "fax_number": "520-327-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "MARK",
        "middle_name": "IRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-05-08",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "5756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281543",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.