Active NPI
Mary Carmen Garcia-Kumirov, M.D.
- Family Medicine Physician
- Nogales, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 55088
- Practice address
- 1852 N Mastick Way
Nogales, AZ 85621 - Phone
- (520) 281-1550
- NPI assigned
- Apr 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R74899 | AZ | |
| Family Medicine Physician | 207Q00000X | 55088 | AZ | Primary |
Addresses
Primary practice location
1852 N Mastick Way
Nogales, AZ 85621
Mailing address
825 N Grand Ave Ste 100
Nogales, AZ 85621-1061
Phone (520) 761-2133
Other practice location 1
9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (888) 803-3370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330385 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13055 W McDowell Rd
Suite E101
Avondale, AZ 85392-6460
Phone (623) 235-8625
1852 N Mastick Way
Nogales, AZ 85621-1063
Phone (520) 281-1550
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55088 | AZ | MD | Family Medicine Physician |
| R74899 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariposa Community Health Center, Inc | Family Medicine | Current | Accepting new patients |
| Mariposa Community Health Center, Inc | Current | Accepting new patients | |
| Mariposa Community Health Center, Inc | Family Medicine | Current | Accepting new patients |
| Circle Medical Care Group PA | Family Medicine | Current | Accepting new patients |
| Mariposa Community Health Center, Inc | Family Medicine | Current | Accepting new patients |
Locations
507 N Western Ave
Nogales, AZ 85621
Phone (520) 229-0085
1852 N Mastick Way
Nogales, AZ 85621
825 N Grand Ave
Ste 100
Nogales, AZ 85621
Phone (520) 761-2128
9700 N 91st St
Ste A115
Scottsdale, AZ 85258
Phone (480) 922-1376
333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441
Interoperability endpoints
- maryc.garcia.p1@direct.azch.nextgenshare.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1417985474
Family Medicine
-
dba AVA Health Partners
- Family Medicine Physician
- Whittier, CA
- NPI 1750858510
AZ
-
dba Family Health Center
- Federally Qualified Health Center (FQHC)
- Patagonia, AZ
- NPI 1003837618
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1104122563
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1487537445
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tucson, AZ
- NPI 1043581846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1487041216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 N GRAND AVE STE 100",
"city": "NOGALES",
"state": "AZ",
"postal_code": "856211061",
"telephone_number": "520-761-2133",
"fax_number": "520-281-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1852 N MASTICK WAY",
"city": "NOGALES",
"state": "AZ",
"postal_code": "85621",
"telephone_number": "520-281-1550"
}
],
"practiceLocations": [
{
"address_1": "9700 N 91st St Ste A115",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852585036",
"country_code": "US",
"telephone_number": "888-803-3370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA-KUMIROV",
"first_name": "MARY",
"middle_name": "CARMEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-20",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "R74899",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "55088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330385",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nogales, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.