Individual provider Active NPI

John R Klein, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Tucson, AZ
National Provider Identifier
1508842881
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
32166 Issued in AZ
Practice address
6618 E Carondelet Dr
Tucson, AZ 85710-2119
Phone
(520) 290-0961
Fax
(520) 290-0965
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 32166 AZ Primary

Addresses

Primary practice location

6618 E Carondelet Dr
Tucson, AZ 85710-2119

Mailing address

6618 E Carondelet Dr
Tucson, AZ 85710-2119
Phone (520) 290-0961

Other identifiers 1

IdentifierTypeStateIssuer
835225MedicaidAZ

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
I20040414001141 AZ Practitioner - Orthopedic Surgery 4880688415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1209 E Target Range Rd
Nogales, AZ 85621-2466
Phone (520) 290-0961

400 W Camino Casa Verde
Green Valley, AZ 85614-3564
Phone (520) 290-0961

6618 E Carondelet Dr
Tucson, AZ 85710-2119
Phone (520) 290-0961

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Upper limb (arm) arthroscopy (minimally invasive joint repair)30

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John R. Klein MD, PC Specialist CurrentSince Mar 1, 2005 Accepting new patients
Az Ortho & JNT Replace CNTR Specialist Past Accepting new patients

Locations

300 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-9111

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

400 W Camino Casa Verde
Green Valley, AZ 85614
Phone (520) 622-7706

400 W Camino Casa Verde
Ste 100
Green Valley, AZ 85614
Phone (520) 625-1760

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

1209 W Target Range Rd
Ste 100
Nogales, AZ 85621
Phone (520) 287-4747

1209 W Target Range Rd
Ste 104
Nogales, AZ 85621
Phone (520) 882-0696

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

2202 N Forbes Blvd
Tucson, AZ 85745
Phone (520) 872-7265

6618 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 290-0961

900 W Scott St
Willcox, AZ 85643
Phone (520) 384-4421

Organizations & group practices 2

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 1

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1508842881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102119",
            "telephone_number": "520-290-0961",
            "fax_number": "520-290-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102119",
            "telephone_number": "520-290-0961",
            "fax_number": "520-290-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "32166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "835225",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.