Individual provider Active NPI

Benjamin Paul Coleman, D.O.

  • Diagnostic Radiology Physician
  • Tucson, AZ
National Provider Identifier
1437456589
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
007251 Issued in AZ
Practice address
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone
(520) 742-9000
NPI assigned
Feb 24, 2011
Last updated
Feb 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 007251 AZ Primary

Addresses

Primary practice location

6200 N la Cholla Blvd
Tucson, AZ 85741-3529

Mailing address

1064 W 9TH PL
Mesa, AZ 85201-3918
Phone (937) 719-1914

Other practice location 1

405 W Grand Ave
Dayton, OH 45405-4720
Phone (937) 723-3200

Other practice location 2

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (850) 901-3500

Other identifiers 1

IdentifierTypeStateIssuer
264522MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170426001439 AZ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2466691761 Reassigns benefits to 4 organizations
I20230501000849 TX Practitioner - Diagnostic Radiology 2466691761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
DHHS IHS Phoenix AreaGroup PAC ID 2668649567, 72 clinicians
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians
White Mountain RadiologyGroup PAC ID 2365429123, 21 clinicians
DHHS IHS Phoenix AreaGroup PAC ID 9436325420, 31 clinicians

Practice addresses (Care Compare)

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (832) 915-2534

200 W Hospital Dr
Whiteriver, AZ 85941-0860
Phone 92833849113532

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone (832) 915-2534

4951 S White Mountain Rd
Show Low, AZ 85901-7827
Phone (928) 537-6700

Highway 264 Milepost
Suite 388
Polacca, AZ 86042-4000

N Cromwell Rd
Cibecue Health Ctr
Cebecue, AZ 85911-0037
Phone 92833849113532

PO Box
4000 Hwy 264 Milepost 388
Polacca, AZ 86042-4000

PO Box
Suite 860
Whiteriver, AZ 85941-0860

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jun 8, 2022 Accepting new patients
Summit Healthcare Association CurrentSince Nov 1, 2022 Accepting new patients
White Mountain Radiology Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
DHHS IHS Phoenix Area CurrentSince May 1, 2025 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
DHHS IHS Phoenix Area CurrentSince Dec 23, 2022 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

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

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

4951 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 228-8384

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

1625 N Campbell Ave
Tucson, AZ 85719

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

3870 W River Rd
Tucson, AZ 85741
Phone (520) 219-6616

4001 E Sunrise Dr
Tucson, AZ 85718
Phone (520) 209-7000

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

Organizations & group practices 7

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 7

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": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1437456589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 W 9TH PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013918",
            "telephone_number": "937-719-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529",
            "telephone_number": "520-742-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454054720",
            "country_code": "US",
            "telephone_number": "937-723-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 E Tangerine Rd",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857556213",
            "country_code": "US",
            "telephone_number": "850-901-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "BENJAMIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-24",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "007251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264522",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.