Individual provider Active NPI

Martin Alberto Longhi

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1558767111
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5786 Issued in AZ
Practice address
2802 E District St
Tucson, AZ 85714-2081
Phone
(520) 301-2400
NPI assigned
Nov 10, 2014
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5786 AZ Primary

Addresses

Primary practice location

2802 E District St
Tucson, AZ 85714-2081

Mailing address

525 E Radburn St
Tucson, AZ 85704-5740

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141212000035 AZ Practitioner - Physician Assistant 3678895158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Southernaz, LLCGroup PAC ID 2769874197, 25 clinicians

Practice addresses (Care Compare)

2802 E District St
FL 2
Tucson, AZ 85714-2081
Phone (520) 301-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5786AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Southernaz, LLC CurrentSince Jun 22, 2022 Accepting new patients
Kidney Guardian Past Accepting new patients
Atlas Medical Systems, PLLC PastSince Oct 16, 2022 Accepting new patients
Alsham Medical PLLC PastSince Sep 1, 2009 Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

2390 E Camelback Rd
Ste 400
Phoenix, AZ 85016
Phone (703) 543-9948

2802 E District St
Tucson, AZ 85714
Phone (520) 622-6000

2802 E District St
Fl 2
Tucson, AZ 85714
Phone (602) 253-5100

2808 E District St
1St FL
Tucson, AZ 85714

Interoperability endpoints

  • Direct secure messaging: martin.longhi@57560418353156.direct.elationemr.com
  • Direct secure messaging: martin.longhi@mmconnections.contexture.medalliesmail.com

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": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1558767111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E RADBURN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 E DISTRICT ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142081",
            "telephone_number": "520-301-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGHI",
        "first_name": "MARTIN",
        "middle_name": "ALBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.