Active NPI
Ursula Vanessa Roeder, M.D.
- Surgery Physician
- Tucson, AZ
National Provider Identifier
1588667232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 16141
- Practice address
- 3700 E Fort Lowell Rd Ste 130
Tucson, AZ 85716-1729 - Phone
- (520) 881-0631
- Fax
- (520) 230-3310
- NPI assigned
- May 24, 2005
- Reactivated
- Mar 28, 2006
- Last updated
- Jun 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 16141 | AZ | Primary |
Addresses
Primary practice location
3700 E Fort Lowell Rd Ste 130
Tucson, AZ 85716-1729
Mailing address
7505 E Knollwood Dr
Tucson, AZ 85750-2357
Other practice location 1
6506 E Carondelet Dr
Tucson, AZ 85710-2117
Phone (520) 885-6717
Other practice location 2
6288 E Grant Rd
Tucson, AZ 85712-5831
Phone (520) 689-7030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16141 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley ENT, PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Scottsdale, AZ
- NPI 1508990185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1588667232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7505 E KNOLLWOOD DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857502357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 E FORT LOWELL RD STE 130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857161729",
"telephone_number": "520-881-0631",
"fax_number": "520-230-3310"
}
],
"practiceLocations": [
{
"address_1": "6506 E Carondelet Dr",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857102117",
"country_code": "US",
"telephone_number": "520-885-6717",
"fax_number": "520-722-9702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6288 E Grant Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857125831",
"country_code": "US",
"telephone_number": "520-689-7030",
"fax_number": "520-395-9796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROEDER",
"first_name": "URSULA",
"middle_name": "VANESSA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"deactivation_date": "2006-03-17",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "16141",
"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 Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.