Individual provider Active NPI

Misty J Colvin, MD

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1366415754
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
30841 Issued in AZ
Practice address
3043 W Ina Rd Ste 115
Tucson, AZ 85741-2107
Phone
(520) 797-7070
Fax
(520) 797-7077
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 30841 AZ Primary

Addresses

Primary practice location

3043 W Ina Rd Ste 115
Tucson, AZ 85741-2107

Mailing address

4801 E Broadway Blvd Ste 251
Tucson, AZ 85711-2700
Phone (520) 327-0460

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
I20040429001147 AZ Practitioner - Pediatric Medicine 3476540485 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Arizona Urgent Care, LLC CurrentSince Sep 6, 2021 Accepting new patients
Arizona Community Physician PC CurrentSince Oct 28, 2021 Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Sep 6, 2021 Accepting new patients
Arizona Community Physicians PC Pediatrics Current Accepting new patients
Southern Arizona Urgent Care LLC Current Accepting new patients
Northwest Hospital LLC Past Accepting new patients
Northwest Rancho Vistoso Imaging Services LLC Past Accepting new patients

Locations

3043 W Ina Rd
Ste 11
Tucson, AZ 85741

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

3043 W Ina Rd
Tucson, AZ 85741
Phone (520) 797-7070

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

3043 W Ina Rd
#115
Tucson, AZ 85741
Phone (520) 797-7070

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

1622 N Swan Rd
Tucson, AZ 85712
Phone (520) 323-5925

Interoperability endpoints

  • Direct secure messaging: mcolvin19493@azacp.direct-ci.com

Organizations & group practices 7

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1366415754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E BROADWAY BLVD STE 251",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112700",
            "telephone_number": "520-327-0460",
            "fax_number": "520-795-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 W INA RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412107",
            "telephone_number": "520-797-7070",
            "fax_number": "520-797-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "MISTY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "30841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.