Active NPI
Ethan Allen Neufeld, M.D.
- Neuroradiology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 57623
- Practice address
- 677 N Wilmot Rd
Tucson, AZ 85711-2701 - Phone
- (520) 795-2889
- NPI assigned
- Mar 29, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 10179216-1205 | UT | |
| Neuroradiology Physician | 2085N0700X | 57623 | AZ | Primary |
Addresses
Primary practice location
677 N Wilmot Rd
Tucson, AZ 85711-2701
Mailing address
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Other practice location 1
2492 E River Rd
Tucson, AZ 85718-9552
Phone (520) 335-6849
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 513683 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Loma Linda University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1598 W Commerce CT
Suite a
Tucson, AZ 85746-6015
Phone (520) 290-4842
2551 E Vistoso Commerce Loop
Oro Valley, AZ 85755-9124
Phone (520) 825-1990
395 N Silverbell Rd
Suite 185
Tucson, AZ 85745-2721
Phone (520) 872-6900
400 W Camino Casa Verde
Suite 200
Green Valley, AZ 85614-3569
Phone (520) 648-9480
450 W Continental Rd
Green Valley, AZ 85622-3551
Phone (520) 625-7670
4640 E Camp Lowell Dr
Tucson, AZ 85712-1296
Phone (520) 318-6144
5960 N la Cholla Blvd
Tucson, AZ 85741-3535
Phone (520) 290-4848
677 N Wilmot Rd
Tucson, AZ 85711-2701
Phone (520) 571-9599
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.69 of 100
- Quality
- 75.27
- Improvement activities
- 40
- Cost
- 74.3
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.01 of 100
- Quality
- 95
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Cruz Radiology L L C | Diagnostic Radiology | Current | Accepting new patients |
| Arizona Oncology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| University of Utah Adult Services | Diagnostic Radiology | Current | Accepting new patients |
| RLC LLC | Neuroradiology | Current | Accepting new patients |
| Radiology LTD., LLC | Diagnostic Radiology | Current | Accepting new patients |
| Arizona Blood and Cancer Specialists, PLLC | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Southern Arizona Rad Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients |
Locations
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000
155 Calle Portal
Ste 500
Sierra Vista, AZ 85635
Phone (520) 459-5227
151 Colonia de Salud
Sierra Vista, AZ 85635
Phone (520) 263-3900
2951 N Swan Rd
Ste 155
Tucson, AZ 85712
Phone (520) 323-5900
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
5960 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 290-4848
677 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 571-9599
3945 E Paradise Falls Dr
Ste 201
Tucson, AZ 85712
Phone (520) 290-5888
2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409
2492 E River Rd
Tucson, AZ 85718
Phone (520) 335-6849
3945 E Paradise Falls Dr
Ste 105
Tucson, AZ 85712
Phone (520) 689-7022
700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Organizations & group practices 9
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.
-
- Hematology & Oncology Physician
- Tucson, AZ
- NPI 1093370918
-
dba Arizona Oncology
- Specialist
- Tucson, AZ
- NPI 1578587671
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Nogales, AZ
- NPI 1346291044
-
- Diagnostic Radiology Physician
- Sierra Vista, AZ
- NPI 1518344639
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
dba Radiology Ltd. - Carondelet
- Diagnostic Radiology Physician
- Tucson, AZ
- NPI 1528224904
Neuroradiology
-
dba University of UT Anesthesiology Department School of Medicine
- Anesthesiology Physician
- Salt Lake City, UT
- NPI 1265836068
-
dba University of Utah Hospital Radiology Department
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Benson, AZ
- NPI 1336118322
-
- Critical Access Hospital
- Willcox, AZ
- NPI 1013060367
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1487920815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112701",
"telephone_number": "520-795-2889"
}
],
"practiceLocations": [
{
"address_1": "2492 E River Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857189552",
"country_code": "US",
"telephone_number": "520-335-6849",
"fax_number": "520-459-2191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEUFELD",
"first_name": "ETHAN",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-29",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "UT",
"license": "10179216-1205",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "AZ",
"license": "57623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "513683",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.