Individual provider Active NPI

Ursula Vanessa Roeder, M.D.

  • Surgery Physician
  • Tucson, AZ
National Provider Identifier
1588667232
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
16141 Issued in AZ
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16141AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.