Ana Martina Egurrola-Gradillas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5278 Issued in AZ

Practice address

1900 S 6TH Ave
Tucson, AZ 85713-3303

Phone

(602) 755-0800

Fax

(602) 560-2721

NPI assigned

Nov 15, 2012

Last updated

Jun 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Specialty

Physician Assistant

Education

Other, 2012

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ana.egurrola-gradillas.1@19654.direct.athenahealth.com
• Direct secure messaging: ana.egurrola-gradillas@nwhc.cernerdirect.com

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.

• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622
  Medicare reassignment Care Compare group
• Northwest Allied Physicians, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oro Valley, AZ
  • NPI 1821302910
  NPD (past)
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • General Practice Physician
  • Tucson, AZ
  • NPI 1235409012
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1588908511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 1175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850120002",
            "telephone_number": "888-698-6727",
            "fax_number": "602-564-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857133303",
            "telephone_number": "602-755-0800",
            "fax_number": "602-560-2721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7885 E Speedway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857101626",
            "country_code": "US",
            "telephone_number": "602-755-0800",
            "fax_number": "602-560-2721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGURROLA-GRADILLAS",
        "first_name": "ANA",
        "middle_name": "MARTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ana.egurrola-gradillas@nwhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "3000 W VALENCIA RD",
            "address_2": "STE 234",
            "city": "TUCSON",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857468059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ana.egurrola-gradillas.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "3000 W VALENCIA RD",
            "address_2": "STE 234",
            "city": "TUCSON",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857468059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Kelly Egan, M.ED, BCBA
• Rebecca Egbert, MD
• Shehla Cleopatra Eggen
• Kevin S Eggers, PT
• Daniel E Eggleston, MD
• Eh Health Hospice of the Southwest, LLC (Enhabit Hospice)
• Eh Home Health of the West, LLC (Enhabit Home Health)
• Joel R.L. Ehrenkranz, MD
• Jonathan S Ehrhardt, M.D.
• April Lynn Ehrlich, MD, MHS

• Physician Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.

Verify at the official NPI Registry.