Individual provider Active NPI

Teh-Li T Huo, MD

  • Nephrology Physician
  • Tucson, AZ
National Provider Identifier
1467458919
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
24443 Issued in AZ
Practice address
1645 N Swan Rd
Tucson, AZ 85712-4046
Phone
(520) 623-2642
Fax
(520) 327-9300
NPI assigned
Jun 21, 2005
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 24443 AZ Primary

Addresses

Primary practice location

1645 N Swan Rd
Tucson, AZ 85712-4046

Mailing address

2149 E Warner Rd Ste 102
Tempe, AZ 85284-3495
Phone (480) 610-6100

Other identifiers 3

IdentifierTypeStateIssuer
420889350OtherBC/BS OF ARIZONA
125120OtherHEALTH NET INSURANCE
35767503MedicaidAZ

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
I20070413000115 AZ Practitioner - NephrologyPractitioner - Internal Medicine 7719987130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

1645 N Swan Rd
Tucson, AZ 85712-4046
Phone (520) 623-2642

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Sep 1, 2014 Accepting new patients
Southwest Kidney Institute Scottsdale LLC Nephrology CurrentSince Sep 1, 2014 Accepting new patients
Angiocare LLC Nephrology PastSince Nov 1, 2006 Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

99 E 16th St
Douglas, AZ 85607
Phone (520) 364-2204

400 W Camino Casa Verde
Green Valley, AZ 85614
Phone (520) 622-7706

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

1852 N Mastick Way
Nogales, AZ 85621

1866 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 825-2520

2610 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-3541

337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

2115 W 16th St
Safford, AZ 85546
Phone (520) 689-7022

5750 E Highway 90
Ste 200
Sierra Vista, AZ 85635
Phone (520) 263-3500

629 N Highway 90 Byp
Sierra Vista, AZ 85635
Phone (520) 459-7791

75 Colonia de Salud
Ste 200B
Sierra Vista, AZ 85635
Phone (520) 320-7999

2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

10350 E Drexel Rd
Tucson, AZ 85747
Phone (520) 290-4846

1645 N Swan Rd
Tucson, AZ 85712
Phone (520) 327-6265

1845 W Orange Grove Rd
Ste 111
Tucson, AZ 85704
Phone (520) 329-8298

1845 W Orange Grove Rd
Ste 131
Tucson, AZ 85704
Phone (520) 575-5766

2121 N Beverly Ave
Ste 105
Tucson, AZ 85712
Phone (520) 321-4911

395 N Silverbell Rd
Ste 209
Tucson, AZ 85745

700 E Broadway Blvd
Ste 100
Tucson, AZ 85719
Phone (520) 327-6265

900 W Scott St
Willcox, AZ 85643
Phone (520) 384-4421

905 N Bowie Ave
Willcox, AZ 85643
Phone (520) 326-4811

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.

Hospital & facility affiliations 5

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1467458919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843495",
            "telephone_number": "480-610-6100",
            "fax_number": "520-327-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124046",
            "telephone_number": "520-623-2642",
            "fax_number": "520-327-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUO",
        "first_name": "TEH-LI",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "24443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ARIZONA",
            "identifier": "420889350",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET INSURANCE",
            "identifier": "125120",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35767503",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.