Rolando Ramon Camacho Salazar, MD
Individual provider Active NPI Neonatal-Perinatal Medicine Physician · Tuscon, AZ
NPI 1487916342 · NPPES record last updated Dec 19, 2019
Key facts
- NPI
- 1487916342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal-Perinatal Medicine Physician 2080N0001X
- License
- 54437 (AZ)
- Practice address
- 6200 N la Cholla Blvd
Tuscon, AZ 85741 - Phone
- (800) 437-2672
- Fax
- (954) 851-1746
- NPI assigned
- Jun 15, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240909002686 | AZ | Practitioner - Pediatric Medicine | 0547555328 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54437 | AZ | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current |
Accepting new patients | |
| Banner-University Medical Group | Family Medicine | Current |
Accepting new patients |
| Northwest HBP Medical Services LLC | Physician Assistant | Current |
Accepting new patients |
| Northwest Hospital LLC | Past | Accepting new patients | |
| Banner - University Medical Center Tucson Campus LLC | Past | Accepting new patients | |
| SMSJ Tucson Holdings LLC | Past | Accepting new patients |
Locations
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
1625 N Campbell Ave
Tucson, AZ 85719
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 54437 | AZ | Yes |
Addresses
Primary practice location
6200 N la Cholla Blvd
Tuscon, AZ 85741
Mailing address
PO Box 743946
Dept 30004
Atlanta, GA 30374-3946
Phone (800) 437-2672
Other providers in Tuscon, AZ
- Misha Azeem
- Wendy Marie Becker
- Scott Steven Berman
- Christina Louise Boulton
- Carlinda Lee Budd
- Maryann Colella
- Desert MRI Lab LLC
- Nicholas Dushenko
- Gerald Altschuler MD PC
- Hand in Hand Inc
All providers in Tuscon, AZ · Neonatal-Perinatal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.