Individual provider Active NPI

Catherine M Cosentino, MD

  • Pediatric Surgery Physician
  • Tucson, AZ
National Provider Identifier
1427037753
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
20291 Issued in AZ
Practice address
5166 E Glenn St
Tucson, AZ 85712-1337
Phone
(520) 795-5338
Fax
(520) 795-5382
NPI assigned
Jan 13, 2006
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20291 AZ
Pediatric Surgery Physician 2086S0120X 20291 AZ Primary

Addresses

Primary practice location

5166 E Glenn St
Tucson, AZ 85712-1337

Mailing address

PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 324-2308

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
I20081031000096 AZ Practitioner - General SurgeryPractitioner - Other (Physician) 6406951862 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20291AZMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Clinics for Rehabilitative Services CurrentSince Feb 7, 2010 Accepting new patients
TMC Medical Network CurrentSince Sep 1, 2018 Accepting new patients

Locations

10350 E Drexel Rd
Unit 110
Tucson, AZ 85747
Phone (520) 324-1727

10390 N La Canada Dr
Ste 110
Tucson, AZ 85737
Phone (520) 420-2110

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

5166 E Glenn St
Tucson, AZ 85712
Phone (520) 795-5338

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1427037753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-2308",
            "fax_number": "520-324-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5166 E GLENN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121337",
            "telephone_number": "520-795-5338",
            "fax_number": "520-795-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSENTINO",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "20291",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "AZ",
            "license": "20291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.