Individual provider Active NPI

Tammy Y Kastre, M.D

  • Emergency Medicine Physician
  • Tucson, AZ
National Provider Identifier
1609817568
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
22002 Issued in AZ
Practice address
1601 W. St. Mary's Rd
Tucson, AZ 85745-2623
Phone
(520) 872-3000
Fax
(520) 498-1364
NPI assigned
Jun 9, 2006
Last updated
May 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 22002 AZ Primary

Addresses

Primary practice location

1601 W. St. Mary's Rd
Tucson, AZ 85745-2623

Mailing address

630 N Alvernon Way
Suite 250
Tucson, AZ 85711-1843
Phone (520) 647-8850

Other identifiers 1

IdentifierTypeStateIssuer
311522MedicaidAZ

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
I20040520000008 AZ Practitioner - Emergency Medicine 7416948310 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest HBP Medical Services LLC Emergency Medicine CurrentSince Oct 28, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Mar 29, 2017 Accepting new patients
Patriot Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Emergency Room Associates Past Accepting new patients
Banner-University Medical Group Emergency Medicine Past Accepting new patients
University Physicians Healthcare Past Accepting new patients
Casa Grande Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

10146 E Old Vail Rd
Tucson, AZ 85747
Phone (520) 229-2657

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

6350 W Marana Center Blvd
Tucson, AZ 85742
Phone (520) 579-6040

Organizations & group practices 7

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1609817568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N ALVERNON WAY",
            "address_2": "SUITE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111843",
            "telephone_number": "520-647-8850",
            "fax_number": "520-647-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W. ST. MARY'S RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452623",
            "telephone_number": "520-872-3000",
            "fax_number": "520-498-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTRE",
        "first_name": "TAMMY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "22002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311522",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.