Active NPI
Mark Alan Tiffany, MD
- Anesthesiology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 64010
- Practice address
- 4601 E Broadway Blvd
Tucson, AZ 85711-3511 - Phone
- (520) 399-6000
- Fax
- (520) 399-6002
- NPI assigned
- Aug 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | MD2022-1545 | NM | |
| Anesthesiology Physician | 207L00000X | 64010 | AZ | Primary |
Addresses
Primary practice location
4601 E Broadway Blvd
Tucson, AZ 85711-3511
Mailing address
4601 E Broadway Blvd
Tucson, AZ 85711-3511
Phone (520) 399-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of California, San Diego School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4601 E Broadway Blvd
Tucson, AZ 85711-3511
Phone (520) 399-6000
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.53 of 100
- Quality
- 79.07
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2022-1545 | NM | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emil H Annabi MD PC | Anesthesiology | Current | Accepting new patients |
| Emil H Annabi MD PC | Anesthesiology | Current | Accepting new patients |
| New Mexico Bone and Joint Institute PC | Current | Accepting new patients | |
| New Mexico Bone and Joint Institute PC | Current | Accepting new patients | |
| Carolina Pain and Weight Loss, PA | Past | Accepting new patients | |
| Emil H Annabi MD PC | Anesthesiology | Past | Accepting new patients |
Locations
4485 S I 19 Frontage Rd
#100
Green Valley, AZ 85614
Phone (520) 399-6000
13395 N Marana Main St
Fl 2
Marana, AZ 85653
Phone (520) 399-0000
2158 N Gilbert Rd
Ste 121
Mesa, AZ 85203
Phone (480) 461-0150
1310 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 399-6000
4601 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 399-6000
6226 E Pima St
Ste 3
Tucson, AZ 85712
Phone (520) 323-1600
6840 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 399-6000
2275 W Magee Rd
Ste 111
Tucson, AZ 85742
Phone (520) 399-6000
7530 N Oracle Rd
Ste 200
Tucson, AZ 85704
Phone (520) 399-6000
2301 Indian Wells Rd
Ste A
Alamogordo, NM 88310
Phone (505) 434-0639
Organizations & group practices 6
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.
-
- Foot & Ankle Surgery Podiatrist
- Alamogordo, NM
- NPI 1942251434
-
- Foot & Ankle Surgery Podiatrist
- Las Cruces, NM
- NPI 1003362807
-
- Pain Medicine Physician
- Salisbury, NC
- NPI 1932936226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1407964737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113511",
"telephone_number": "520-399-6000",
"fax_number": "520-399-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113511",
"telephone_number": "520-399-6000",
"fax_number": "520-399-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIFFANY",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NM",
"license": "MD2022-1545",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "64010",
"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 Jul 29, 2024; 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.