Individual provider Active NPI

Fadi Adra, M.D.,

  • Pulmonary Disease Physician
  • Tucson, AZ
National Provider Identifier
1366630683
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
51744 Issued in AZ
Practice address
2055 W Hospital Dr
Ste. 205
Tucson, AZ 85704-7892
Phone
(520) 575-6944
Fax
(520) 575-1115
NPI assigned
Oct 11, 2007
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 51744 AZ Primary

Addresses

Primary practice location

2055 W Hospital Dr
Ste. 205
Tucson, AZ 85704-7892

Mailing address

2055 W Hospital Dr
Ste. 205
Tucson, AZ 85704-7892
Phone (520) 575-6944

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fadi.adra.1@1576.direct.athenahealth.com Direct

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
I20160812000623 AZ Practitioner - Pulmonary Disease 8921276080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

2055 W Hospital Dr
Suite 205
Tucson, AZ 85704-7822
Phone (520) 575-6944

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince Feb 14, 2022 Accepting new patients
Northwest Allied Physicians LLC Internal Medicine CurrentSince Feb 14, 2022 Accepting new patients
Valley ENT, PC Past Accepting new patients

Locations

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 291
Oro Valley, AZ 85755
Phone (520) 219-4450

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

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

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

2055 W Hospital Dr
Ste 205
Tucson, AZ 85704
Phone (520) 575-6944

Interoperability endpoints

  • Direct secure messaging: fadi.adra.1@1576.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1366630683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 W HOSPITAL DR",
            "address_2": "STE. 205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047892",
            "telephone_number": "520-575-6944",
            "fax_number": "520-575-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 W HOSPITAL DR",
            "address_2": "STE. 205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047892",
            "telephone_number": "520-575-6944",
            "fax_number": "520-575-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADRA",
        "first_name": "FADI",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "51744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fadi.adra.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2055 W Hospital Dr",
            "address_2": "Ste. 205",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857047892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.