Individual provider Active NPI

Kenneth John Tertel II, M.D.

  • Diagnostic Radiology Physician
  • Tucson, AZ
National Provider Identifier
1386843605
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20863 Issued in AZ
Practice address
6270 E Grant Rd
Tucson, AZ 85712-5831
Phone
(520) 547-5935
Fax
(520) 541-5934
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20863 AZ Primary

Addresses

Primary practice location

6270 E Grant Rd
Tucson, AZ 85712-5831

Mailing address

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

Other practice location 1

5515 E 5th St
Tucson, AZ 85711-2415
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
I20040621000434 AZ Practitioner - Diagnostic Radiology 7113902727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Ohio, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Community Physicians PCGroup PAC ID 4587560552, 162 clinicians

Practice addresses (Care Compare)

2055 W Hospital Dr
Tucson, AZ 85704-7892
Phone (520) 547-5725

2155 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 742-0414

2191 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 547-3940

5515 E 5TH St
Tucson, AZ 85711-2415
Phone (520) 298-1138

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Family Medicine Current Accepting new patients
Arizona Community Physician PC CurrentSince Dec 10, 2013 Accepting new patients

Locations

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

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

6270 E Grant Rd
Tucson, AZ 85712
Phone (520) 298-1138

5515 E 5th St
Tucson, AZ 85711
Phone (520) 298-1138

Organizations & group practices 2

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1386843605",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125831",
            "telephone_number": "520-547-5935",
            "fax_number": "520-541-5934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5515 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857112415",
            "country_code": "US",
            "telephone_number": "520-327-0460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERTEL",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "20863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.