Active NPI
Emmanuel Lamug Apostol, M.D.
- Pediatric Nephrology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- 40567
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200441120 | Medicaid | IN |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01057659 | IN | MD | Pediatric Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Clinics for Rehabilitative Services | Current | Accepting new patients | |
| Banner-University Medical Group | Pediatrics | Current | Accepting new patients |
| Banner-University Medical Group | Current | 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.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1063454346
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.