NPIMap

Individual provider Active NPI

Shannon Thorn, MD

  • Infectious Disease Physician
  • Tucson, AZ
National Provider Identifier
1528268075
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
41117 Issued in AZ
Practice address
2001 W. Orange Grove Rd.
Suite 404
Tucson, AZ 85704
Phone
(520) 989-0226
Fax
(520) 989-3798
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 41117 AZ Primary
Internal Medicine Physician 207R00000X A90751 CA

Addresses

Primary practice location

2001 W. Orange Grove Rd.
Suite 404
Tucson, AZ 85704

Mailing address

2001 W. Orange Grove Rd.
Suite 404
Tucson, AZ 85704
Phone (520) 989-0226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081217000131 AZ Practitioner - Infectious DiseasePractitioner - Internal Medicine 9335201805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Loma Linda University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease of Arizona PLLCGroup PAC ID 2466757182, 3 clinicians

Practice addresses (Care Compare)

1980 W Hospital Dr
Suite 210
Tucson, AZ 85704-7804
Phone (520) 989-0226

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.52 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
88.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90751CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease of Arizona PLLC Infectious Disease CurrentSince Apr 1, 2016 Accepting new patients

Locations

2001 W Orange Grove Rd
Ste 404
Tucson, AZ 85704
Phone (520) 318-9681

6200 N La Cholla Blvd
#211
Tucson, AZ 85741
Phone (520) 229-3300

1980 W Hospital Dr
Ste 210
Tucson, AZ 85704
Phone (520) 326-3999

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

Organizations & group practices 1

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 8

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1528268075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W. ORANGE GROVE RD.",
            "address_2": "SUITE 404",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-989-0226",
            "fax_number": "520-989-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W. ORANGE GROVE RD.",
            "address_2": "SUITE 404",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-989-0226",
            "fax_number": "520-989-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORN",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "41117",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A90751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.