Individual provider Active NPI

Fadi Deeb, MD

  • Gastroenterology Physician
  • Tucson, AZ
National Provider Identifier
1497729248
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
38120 Issued in AZ
Practice address
1505 N Swan Rd # 121
Tucson, AZ 85712-4044
Phone
(520) 795-3090
Fax
(520) 795-3537
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 38120 AZ Primary

Addresses

Primary practice location

1505 N Swan Rd # 121
Tucson, AZ 85712-4044

Mailing address

1505 N Swan Rd # 121
Tucson, AZ 85712-4044
Phone (520) 795-3090

Other practice location 1

350 N Wilmot Rd
Tucson, AZ 85711-2678
Phone (520) 296-3211

Other identifiers 1

IdentifierTypeStateIssuer
333227MedicaidAZ

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
I20080603000221 AZ Practitioner - GastroenterologyPractitioner - Internal Medicine 5496758062 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swan Gastroenterology PCGroup PAC ID 9133425903, 8 clinicians
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

1505 N Swan Rd
Suite 121
Tucson, AZ 85712-4044
Phone (520) 795-3090

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 873-3000

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-4230

Hospital & facility affiliations

  • St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy333
Upper gastrointestinal (GI) endoscopy for acid reflux191

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Anesthesia LLC Current Accepting new patients
Tucson Physician Group Holdings, LLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
TMC Medical Network CurrentSince Dec 11, 2022 Accepting new patients
Swan Gastroenterology, P.C. Gastroenterology CurrentSince Feb 29, 2016 Accepting new patients
Swan Surgery Center, LLC Current Accepting new patients
Kansas Gastroenterology LLC Gastroenterology PastSince Jan 1, 2004 Accepting new patients
Kansas Endoscopy LLC Past Accepting new patients

Locations

111 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 459-3850

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

1505 N Swan Rd
Ste 10
Tucson, AZ 85712

1505 N Swan Rd
#121
Tucson, AZ 85712
Phone (520) 795-3090

1505 N Swan Rd
Ste 121
Tucson, AZ 85712
Phone (520) 795-3090

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1505 N Swan Rd
Tucson, AZ 85712
Phone (520) 326-2420

1505 N Swan Rd
Ste 101
Tucson, AZ 85712

1505 N Swan Rd
Ste 112
Tucson, AZ 85712

5190 E Farness Dr
Ste 112
Tucson, AZ 85712
Phone (520) 795-3090

Interoperability endpoints

  • FHIR API: https://e38455df-8137-43ad-9077-b36c0bc0745d.gastro.prod.fhir.ema-api.com/fhir/r4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1497729248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N SWAN RD # 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124044",
            "telephone_number": "520-795-3090",
            "fax_number": "520-795-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N SWAN RD # 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124044",
            "telephone_number": "520-795-3090",
            "fax_number": "520-795-3537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Wilmot Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857112678",
            "country_code": "US",
            "telephone_number": "520-296-3211",
            "fax_number": "520-873-3921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEEB",
        "first_name": "FADI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "38120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333227",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.