Individual provider Active NPI

Emmanuel Lamug Apostol, M.D.

  • Pediatric Nephrology Physician
  • Tucson, AZ
National Provider Identifier
1619085776
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
40567 Issued in AZ
Practice address
535 N Wilmot Rd
Suite #101
Tucson, AZ 85711
Phone
(520) 694-9988
Fax
(520) 694-9917
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X 01057659 IN
Pediatric Nephrology Physician 2080P0210X 40567 AZ Primary

Addresses

Primary practice location

535 N Wilmot Rd
Suite #101
Tucson, AZ 85711

Mailing address

2701 E Elvira Rd
Tucson, AZ 85756-7124
Phone (520) 626-6182

Other identifiers 1

IdentifierTypeStateIssuer
200441120MedicaidIN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080806000104 AZ Practitioner - Other (Physician)Practitioner - Pediatric MedicinePractitioner - Nephrology 2567536717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

2800 E Ajo Way
Tucson, AZ 85713-6204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01057659INMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Clinics for Rehabilitative Services CurrentSince Jan 15, 2010 Accepting new patients
Banner-University Medical Group Pediatrics CurrentSince Aug 1, 2008 Accepting new patients
Banner-University Medical Group CurrentSince Aug 1, 2008 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1625 N Campbell Ave
Tucson, AZ 85719

2701 E Elvira Rd
Tucson, AZ 85756
Phone (520) 874-4024

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

1501 N Campbell Ave
#245575
Tucson, AZ 85724

6261 N La Cholla Blvd
Ste 131
Tucson, AZ 85741
Phone (301) 984-1979

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1619085776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E ELVIRA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857567124",
            "telephone_number": "520-626-6182",
            "fax_number": "520-626-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD",
            "address_2": "SUITE #101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-694-9988",
            "fax_number": "520-694-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APOSTOL",
        "first_name": "EMMANUEL",
        "middle_name": "LAMUG",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "IN",
            "license": "01057659",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "AZ",
            "license": "40567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441120",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.