Individual provider Active NPI

Aspen I Ralph, DO

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1548264450
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3787 Issued in AZ
Practice address
6060 N Fountain Plaza Dr Ste 270
Tucson, AZ 85704-7873
Phone
(520) 229-2578
Fax
(520) 229-2561
NPI assigned
Jun 8, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3787 AZ Primary

Addresses

Primary practice location

6060 N Fountain Plaza Dr Ste 270
Tucson, AZ 85704-7873

Mailing address

6060 N Fountain Plaza Dr Ste 270
Tucson, AZ 85704-7873
Phone (520) 229-2578

Other identifiers 7

IdentifierTypeStateIssuer
2Z1203OtherAZHEALTH NET
AZ0758740OtherAZBLUE CROSS BLUE SHIELD
3122834OtherAZAETNA HEALTHCARE
860750942OtherAZARIZONA FOUNDATION
0402296OtherAZUNITED HEALTHCARE
2192402OtherAZFIRST HEALTH
8671843002OtherAZCIGNA HEALTHCARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aspen.ralph@nwhc.cernerdirect.com
Direct Messaging Address aspen.ralph.1@1576.direct.athenahealth.com

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
I20041004000415 AZ Practitioner - Internal Medicine 3779542089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

5620 W Thunderbird Rd
Suite F1
Glendale, AZ 85306-4652
Phone (888) 698-6727

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Allen Family Medicine PLLC Family Medicine Past Accepting new patients

Locations

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701

10405 N La Canada Dr
Tucson, AZ 85737
Phone (520) 237-5934

Interoperability endpoints

  • Direct secure messaging: aspen.ralph.1@19654.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548264450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 N FOUNTAIN PLAZA DR STE 270",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047873",
            "telephone_number": "520-229-2578",
            "fax_number": "520-229-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 N FOUNTAIN PLAZA DR STE 270",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047873",
            "telephone_number": "520-229-2578",
            "fax_number": "520-229-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALPH",
        "first_name": "ASPEN",
        "middle_name": "I",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Z1203",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0758740",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "3122834",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA FOUNDATION",
            "identifier": "860750942",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0402296",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2192402",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "8671843002",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aspen.ralph@nwhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "6060 N Fountain Plaza Dr Ste 270",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857047873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aspen.ralph.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "6060 N Fountain Plaza Dr Ste 270",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857047873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.