Individual provider Active NPI

Dana M Kageyama, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1629034566
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25676 Issued in AZ
Practice address
1740 E Fort Lowell Road
Suite 100
Tucson, AZ 85719-2384
Phone
(520) 613-0001
Fax
(520) 613-0003
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25676 AZ Primary

Addresses

Primary practice location

1740 E Fort Lowell Road
Suite 100
Tucson, AZ 85719-2384

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (615) 315-5257

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
I20050119000347 AZ Practitioner - Internal Medicine 1557310315 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
App of Southern Arizona HM LLC CurrentSince May 1, 2021 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Aug 15, 2018 Accepting new patients
Archwell Health Professional Services of Arizona, LLC Internal Medicine CurrentSince Mar 6, 2023 Accepting new patients
Northwest Allied Physicians LLC Internal Medicine PastSince Jun 1, 2006 Accepting new patients
Northwest Allied Physicians, LLC Past Accepting new patients

Locations

4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

5100 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 613-3001

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

2940 S 6th Ave
Tucson, AZ 85713
Phone (520) 613-1001

1740 E Fort Lowell Rd
Ste 100
Tucson, AZ 85719
Phone (520) 613-0001

2265 W Ina Rd
Tucson, AZ 85741
Phone (520) 702-3637

5455 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 323-7620

9550 E Golf Links Rd
Ste 100
Tucson, AZ 85730
Phone (520) 910-0207

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Organizations & group practices 5

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1629034566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "615-315-5257",
            "fax_number": "615-692-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E FORT LOWELL ROAD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192384",
            "telephone_number": "520-613-0001",
            "fax_number": "520-613-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGEYAMA",
        "first_name": "DANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "25676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.