Individual provider Active NPI

Mauro Tucci, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1619156445
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24933 Issued in AZ
Practice address
3815 E Bell Rd Ste 4100
Phoenix, AZ 85032-2167
Phone
(602) 494-5040
Fax
(602) 494-4020
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA51880 NJ
Internal Medicine Physician 207R00000X 24933 AZ Primary

Addresses

Primary practice location

3815 E Bell Rd Ste 4100
Phoenix, AZ 85032-2167

Mailing address

3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171
Phone (602) 633-3838

Other identifiers 2

IdentifierTypeStateIssuer
Z244001OtherAZMEDICARE PIN
007728MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051004000004 NJ Practitioner - Internal Medicine 8921059445 Reassigns benefits to 1 organization
I20200710002944 AZ Practitioner - Internal Medicine 8921059445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14415 W McDowell Rd
Suite D102
Goodyear, AZ 85395-2521
Phone (623) 512-4190

3815 E Bell Rd
Suite 4100
Phoenix, AZ 85032-2167
Phone (602) 494-5040

Hospital & facility affiliations

  • Assisted Home Health Home health agency, Phoenix, AZ, CCN 037220
  • Assisteo Home Health Home health agency, Phoenix, AZ, CCN 037262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA51880NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Privia Medical Group Arizona, LLC CurrentSince Aug 1, 2020 Accepting new patients
Privia Medical Group Arizona, LLC CurrentSince Aug 1, 2020 Accepting new patients
Privia Medical Group Arizona, LLC Internal Medicine Current Accepting new patients

Locations

14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358

3815 E Bell Rd
Ste 4100
Phoenix, AZ 85032
Phone (602) 494-5015

3815 E Bell Rd
Ste 4500
Phoenix, AZ 85032
Phone (602) 633-3838

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

8 Auer Ct
Ste C
East Brunswick, NJ 08816
Phone (732) 254-2216

8 Auer Ct
Ste Cd
East Brunswick, NJ 08816
Phone (732) 254-2216

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
  • Direct secure messaging: mauro.tucci.2@33227.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1619156445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322171",
            "telephone_number": "602-633-3838",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322167",
            "telephone_number": "602-494-5040",
            "fax_number": "602-494-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCCI",
        "first_name": "MAURO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA51880",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "Z244001",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007728",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.