Active NPI
Kevin T Ralls, NP-C
- Family Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP5058
- Practice address
- 1460 W Valencia Rd
Tucson, AZ 85746-6001 - Phone
- (520) 573-0966
- Fax
- (520) 573-3930
- NPI assigned
- Aug 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP5058 | AZ | Primary |
Addresses
Primary practice location
1460 W Valencia Rd
Tucson, AZ 85746-6001
Mailing address
1669 W Ina Rd Ste 101
Tucson, AZ 85704-1976
Phone (520) 573-0966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
760 S Colorado Blvd
Unit a
Denver, CO 80246-1900
Phone (303) 692-8000
760 S Colorado Blvd
Unit B
Denver, CO 80246-1956
Phone (303) 692-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP5058 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Allied Physicians, LLC | Current | Accepting new patients | |
| Northwest Allied Physicians LLC | Current | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients | |
| Primary Care Solutions P.C. | Current | Accepting new patients | |
| Primary Care Solutions P.C. | Past | Accepting new patients | |
| Primary Care Solutions P.C. | Past | Accepting new patients |
Locations
695 S Pecan Tree Ln
Green Valley, AZ 85614
Phone (520) 625-8116
5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115
1669 W Ina Rd
Ste 101
Tucson, AZ 85704
Phone (520) 573-0966
1669 W Ina Rd
Ste 141
Tucson, AZ 85704
Phone (520) 795-6183
8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770
1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966
3790 W Colfax Ave
Unit B
Denver, CO 80204
Phone (303) 480-1000
2848 Colorado Blvd
Denver, CO 80207
Phone (303) 381-1100
3800 Irving St
Ste 10
Denver, CO 80211
Phone (303) 477-6000
777 E Speer Blvd
Ste 100
Denver, CO 80203
Phone (303) 733-4000
1295 N Colorado Blvd
Denver, CO 80206
Phone (303) 399-6120
760 S Colorado Blvd
Unit B
Denver, CO 80246
Phone (303) 692-8000
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.
-
- Primary Care Clinic/Center
- Denver, CO
- NPI 1871923250
-
- Urgent Care Clinic/Center
- Denver, CO
- NPI 1336491075
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
-
- General Practice Physician
- Tucson, AZ
- NPI 1003833179
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1790581742
-
- Durable Medical Equipment & Medical Supplies
- Oro Valley, AZ
- NPI 1821302910
-
- Primary Care Clinic/Center
- Denver, CO
- NPI 1386527091
-
- Primary Care Clinic/Center
- Denver, CO
- NPI 1851274567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1386076958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1669 W INA RD STE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041976",
"telephone_number": "520-573-0966",
"fax_number": "520-784-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 W VALENCIA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857466001",
"telephone_number": "520-573-0966",
"fax_number": "520-573-3930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALLS",
"first_name": "KEVIN",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-05",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP5058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.