NPIMap

Individual provider Active NPI

Hossein Ghofrani, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1447576236
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9991 Issued in SD
Practice address
350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone
(520) 296-3211
Fax
(520) 873-3211
NPI assigned
Apr 19, 2010
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 9991 SD
Internal Medicine Physician 207R00000X 9991 SD Primary

Addresses

Primary practice location

350 N Wilmot Rd
Tucson, AZ 85711-2602

Mailing address

2020 Zonal Ave
Ird 806
Los Angeles, CA 90033
Phone (323) 226-7307

Other practice location 1

2020 Zonal Ave
Ird 806
Los Angeles, CA 90033
Phone (323) 226-7307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SD, ND, AZ4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20151001002736 CA Practitioner - Internal MedicinePractitioner - Nephrology 6103134655 Reassigns benefits to 1 organization
I20160622001343 SD Practitioner - Internal MedicinePractitioner - Nephrology 6103134655 Reassigns benefits to 5 organizations
I20240628000074 ND Practitioner - Nephrology 6103134655 Reassigns benefits to 1 organization
I20250325003099 AZ Practitioner - Internal Medicine 6103134655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 873-3000

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9991SDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince May 13, 2023 Accepting new patients
Avera St Marys CurrentSince Jan 1, 2022 Accepting new patients
Avera St. Luke's CurrentSince Jan 1, 2022 Accepting new patients
Avera McKennan Nephrology CurrentSince May 13, 2023 Accepting new patients
Sacred Heart Health Services CurrentSince Mar 22, 2022 Accepting new patients
Galen Inpatient Physicians PC CurrentSince May 1, 2017 Accepting new patients
Avera St. Luke's Internal Medicine Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 7, 2016 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Tucson Physician Group Holdings, LLC Internal Medicine CurrentSince Jan 10, 2025 Accepting new patients
Avera St. Lukes Nephrology CurrentSince Jan 1, 2022 Accepting new patients
Avera St Marys Current Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Avera McKennan Current Accepting new patients
Sanford Bismarck CurrentSince May 25, 2024 Accepting new patients
Sanford Bismarck Family Medicine CurrentSince May 25, 2024 Accepting new patients
Sacred Heart Health Services CurrentSince Mar 22, 2022 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jun 7, 2016 Accepting new patients
Galen Inpatient Physicians Inc Family Medicine CurrentSince May 1, 2017 Accepting new patients
Avera St. Mary's CurrentSince Jan 1, 2022 Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients
Usc Care Medical Group, Inc Family Medicine Past Accepting new patients

Locations

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Interoperability endpoints

  • Direct secure messaging: hghofrani.8173@regionalhealth.sdhealthlink.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1447576236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 ZONAL AVE",
            "address_2": "IRD 806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-226-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112602",
            "telephone_number": "520-296-3211",
            "fax_number": "520-873-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Zonal Ave",
            "address_2": "IRD 806",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90033",
            "country_code": "US",
            "telephone_number": "323-226-7307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOFRANI",
        "first_name": "HOSSEIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SD",
            "license": "9991",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "9991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.