Individual provider Active NPI

Walaa Elfar, MD

  • Pediatric Gastroenterology Physician
  • Tucson, AZ
National Provider Identifier
1467776252
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
67516 Issued in AZ
Practice address
535 N Wilmot Rd Ste 101
Tucson, AZ 85711-2683
Phone
(520) 694-5437
Fax
(520) 874-7070
NPI assigned
Mar 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 67516 AZ Primary

Addresses

Primary practice location

535 N Wilmot Rd Ste 101
Tucson, AZ 85711-2683

Mailing address

Banner- University Medical Group PO Box 74136
Los Angeles, CA 90074-1736
Phone (520) 694-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ2 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
I20181001000808 PA Practitioner - Pediatric Medicine 3173812419 Reassigns benefits to 1 organization
I20221005003213 AZ Practitioner - Pediatric MedicinePractitioner - Gastroenterology 3173812419 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Sep 28, 2022 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Sep 1, 2018 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Sep 1, 2018 Accepting new patients
Banner-University Medical Group Family Medicine CurrentSince Sep 28, 2022 Accepting new patients

Locations

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

6261 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 297-1490

1625 N Campbell Ave
Tucson, AZ 85719

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

6261 N La Cholla Blvd
Ste 131
Tucson, AZ 85741
Phone (301) 984-1979

500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1467776252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BANNER- UNIVERSITY MEDICAL GROUP PO BOX 74136",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900741736",
            "telephone_number": "520-694-5437",
            "fax_number": "520-874-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112683",
            "telephone_number": "520-694-5437",
            "fax_number": "520-874-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFAR",
        "first_name": "WALAA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "AZ",
            "license": "67516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.