Active NPI
Triston Mabry
- Emergency Medicine Physician
- Tucson, AZ
National Provider Identifier
1417881871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R82831
- Practice address
- 2800 E Ajo Way
Tucson, AZ 85713-6204 - Phone
- (520) 874-2000
- NPI assigned
- Jun 10, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R82831 | AZ | Primary |
Addresses
Primary practice location
2800 E Ajo Way
Tucson, AZ 85713-6204
Mailing address
4500 N Via Entrada Apt 122
Tucson, AZ 85718-7606
Phone (520) 664-6270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1417881871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 N VIA ENTRADA APT 122",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857187606",
"telephone_number": "520-664-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E AJO WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136204",
"telephone_number": "520-874-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABRY",
"first_name": "TRISTON",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-10",
"last_updated": "2026-06-10",
"certification_date": "2026-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "R82831",
"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 Jun 10, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.