Individual provider Active NPI

Cherylyn G Dias, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Tucson, AZ
National Provider Identifier
1508847369
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
32212 Issued in AZ
Practice address
3945 E Paradise Falls Drive
Ste 201
Tucson, AZ 85712-6687
Phone
(520) 615-6200
Fax
(520) 615-6255
NPI assigned
Nov 9, 2005
Last updated
May 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 32212 AZ Primary

Addresses

Primary practice location

3945 E Paradise Falls Drive
Ste 201
Tucson, AZ 85712-6687

Mailing address

3945 E Paradise Falls Drive
Ste 201
Tucson, AZ 85712-6687
Phone (520) 615-6200

Other identifiers 1

IdentifierTypeStateIssuer
847717MedicaidAZ

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
I20040415001337 AZ Practitioner - Geriatric MedicinePractitioner - Internal Medicine 5890780217 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 West LLC CurrentSince Aug 24, 2024 Accepting new patients
Arizona Post-Acute Medical Services 1 PC CurrentSince Apr 1, 2017 Accepting new patients
Arizona Acute Medical Services 1 PC Past Accepting new patients
Devon Gables Rehabilitation Center LLC Past Accepting new patients
NM Pacs 2 LLC Past Accepting new patients

Locations

1081 Kathleen Ave
Kingman, AZ 86401
Phone (928) 718-0777

5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400

2509 N 24th St
Phoenix, AZ 85008
Phone (602) 273-1347

2510 W Dunlap Ave
Ste 290
Phoenix, AZ 85021

3411 N 5th Ave
Ste 209
Phoenix, AZ 85013

8825 S 7th St
Phoenix, AZ 85042
Phone (602) 243-6121

864 Dougherty St
Prescott, AZ 86305
Phone (928) 778-9666

3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

3945 E Paradise Falls Dr
Ste 201
Tucson, AZ 85712
Phone (520) 290-5888

6150 E Grant Rd
Tucson, AZ 85712
Phone (520) 296-6181

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1508847369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 E PARADISE FALLS DRIVE",
            "address_2": "STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126687",
            "telephone_number": "520-615-6200",
            "fax_number": "520-615-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 E PARADISE FALLS DRIVE",
            "address_2": "STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126687",
            "telephone_number": "520-615-6200",
            "fax_number": "520-615-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAS",
        "first_name": "CHERYLYN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "32212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847717",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.