Individual provider Active NPI

Roushun Zibari

  • Certified Registered Nurse Anesthetist
  • Tucson, AZ
National Provider Identifier
1396397204
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
231685 Issued in AZ
Practice address
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone
(520) 694-0111
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 231685 AZ Primary

Addresses

Primary practice location

1625 N Campbell Ave
Tucson, AZ 85719-4330

Mailing address

3515 N Sabino Canyon Rd Apt 38
Tucson, AZ 85750-2117
Phone (214) 600-2844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117000005 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830524974 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians

Practice addresses (Care Compare)

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (480) 420-4027

1704 W Anklam Rd
Suite 108
Tucson, AZ 85745-2656
Phone (623) 241-6185

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (480) 420-4027

3900 E Camelback Rd
Suite 190
Phoenix, AZ 85018-2657
Phone (480) 420-4027

Hospital & facility affiliations

  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
231685AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 14, 2021 Accepting new patients
Guide Anesthesia Az LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2026 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients

Locations

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1396397204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 N SABINO CANYON RD APT 38",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857502117",
            "telephone_number": "214-600-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194330",
            "telephone_number": "520-694-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIBARI",
        "first_name": "ROUSHUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2022-02-15",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "231685",
            "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 Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.