Individual provider Active NPI

Kelly Lynn Vollmer, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1639220841
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200200621 Issued in NC
Practice address
4550 S Palo Verde Rd
Tucson, AZ 85714-1943
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 200200621 NC
Internal Medicine Physician 207R00000X 200200621 NC Primary

Addresses

Primary practice location

4550 S Palo Verde Rd
Tucson, AZ 85714-1943

Mailing address

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, 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
I20070824000215 NC Practitioner - Internal MedicinePractitioner - Infectious Disease 0345332128
I20191105002368 AZ Practitioner - Internal Medicine 0345332128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200200621NCMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Oct 1, 2019 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Oct 1, 2019 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients

Locations

7490 S Camino de Oeste
Tucson, AZ 85746
Phone (520) 879-6039

434 E University Blvd
Ste 100
Tucson, AZ 85705
Phone (520) 309-4250

1500 W Commerce Ct
Bldg 1
Tucson, AZ 85746
Phone (520) 309-3006

3950 S Country Club Rd
Ste 130
Tucson, AZ 85714
Phone (520) 874-2778

320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663

4550 S Palo Verde Rd
Tucson, AZ 85714
Phone (520) 225-0584

6950 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 309-3250

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

Interoperability endpoints

  • Direct secure messaging: kvollmer18369@elrio.direct.ci.com

Organizations & group practices 3

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1639220841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 S PALO VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141943",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLMER",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "200200621",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200200621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.