Individual provider Active NPI

Gerome B Kantor, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1407850290
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33132 Issued in AZ
Practice address
5300 E Erickson Dr Ste 108
Tucson, AZ 85712-2809
Phone
(520) 721-5330
Fax
(520) 547-5743
NPI assigned
Jun 9, 2005
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33132 AZ Primary

Addresses

Primary practice location

5300 E Erickson Dr Ste 108
Tucson, AZ 85712-2809

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
9882377OtherAZCIGNA
AZ0764240OtherAZBLUE CROSS BLUE SHIELD

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
I20041119000088 AZ Practitioner - Internal Medicine 2365349388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1975
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)

1951 N Wilmot Rd
Suite 3
Tucson, AZ 85712-8000
Phone (520) 327-9573

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33132AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Internal Medicine Current Accepting new patients
Arizona Community Physician PC CurrentSince Nov 1, 2014 Accepting new patients
Northwest Allied Physicians, LLC Past Accepting new patients

Locations

1951 N Wilmot Rd
Ste 3
Tucson, AZ 85712
Phone (520) 327-9573

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

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

5300 E Erickson Dr
Ste 108
Tucson, AZ 85712
Phone (520) 721-5330

Interoperability endpoints

  • Direct secure messaging: gkantor18383@azacp.direct-ci.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 2

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1407850290",
    "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": "5300 E ERICKSON DR STE 108",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122809",
            "telephone_number": "520-721-5330",
            "fax_number": "520-547-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "GEROME",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "33132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9882377",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0764240",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.