Active NPI
Jennifer Ann Erdrich, M.D.
- Surgical Oncology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 56959
- Practice address
- 1501 N Campbell Ave Ste 4327
Tucson, AZ 85724-2200 - Phone
- (520) 626-9383
- NPI assigned
- May 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 56959 | AZ | |
| Surgical Oncology Physician | 2086X0206X | 56959 | AZ | Primary |
Addresses
Primary practice location
1501 N Campbell Ave Ste 4327
Tucson, AZ 85724-2200
Mailing address
2940 Aber St
San Diego, CA 92117-2424
Phone (858) 752-3695
Other practice location 1
300 Pasteur Dr Rm H3591
Stanford, CA 94305-2200
Phone (650) 736-1355
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Harvard Medical School, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3838 N Campbell Ave
BLDG 1
Tucson, AZ 85719-1454
Phone (520) 694-2873
Hospital & facility affiliations
- Banner - University Medical Center Tucson Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 33 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Family Medicine | Current | Accepting new patients |
| Banner-University Medical Group | Current | Accepting new patients |
Locations
3533 Canyon de Flores
Ste C
Sierra Vista, AZ 85650
Phone (520) 458-2000
1891 W Orange Grove Rd
Bldg 1
Tucson, AZ 85704
Phone (520) 694-2873
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
2800 E Ajo Way
Ste 100
Tucson, AZ 85713
Phone (520) 874-2778
1501 N Campbell Ave
Ste 4327
Tucson, AZ 85724
Phone (520) 626-9383
2800 E Ajo Way
Bldg 100
Tucson, AZ 85713
Phone (520) 419-5820
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
1625 N Campbell Ave
Tucson, AZ 85719
7165 N Pima Canyon Dr
Tucson, AZ 85718
Phone (520) 694-2021
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1528292802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 ABER ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921172424",
"telephone_number": "858-752-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N CAMPBELL AVE STE 4327",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857242200",
"telephone_number": "520-626-9383"
}
],
"practiceLocations": [
{
"address_1": "300 Pasteur Dr Rm H3591",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "943052200",
"country_code": "US",
"telephone_number": "650-736-1355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERDRICH",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "56959",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "AZ",
"license": "56959",
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 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.