Mylanie C. Facelo, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0116028424 Issued in VA

Practice address

5555 E River Rd # 219
Tucson, AZ 85750-1949

Phone

(520) 314-4275

NPI assigned

Jun 25, 2012

Last updated

Sep 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Arizona College of Osteopathic Medicine Mid Western University, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037213
• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
• St Joseph's Hospital Hospital, Tucson, AZ, CCN 030011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
• Direct secure messaging: mylanie.facelo.1@600.direct.athenahealth.com

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

• Tucson Physician Group Holdings, LLC

  dba Carondelet Medical Group

  • Interventional Cardiology Physician
  • Tucson, AZ
  • NPI 1356726939
  Medicare reassignment Care Compare group NPD
• Carondelet Medical Group, Inc

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1659326585
  NPD (past)

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Tucson, AZ
  • NPI 1063743078
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Tucson, AZ
  • NPI 1841221751
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Tucson, AZ
  • NPI 1902847973
  Care Compare affiliation
• SMSJ Tucson Holdings LLC

  dba St. Josephs Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1538535158
  Care Compare affiliation
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1639433691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 E SPEEDWAY BLVD STE 300",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163928",
            "telephone_number": "520-833-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 E RIVER RD # 219",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857501949",
            "telephone_number": "520-314-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACELO",
        "first_name": "MYLANIE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R73583",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116028424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "R73583",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Mikell Faber, FNP
• Tatum Faber
• Jill Fabian, LCSW,LISAC
• James Eliot Fabricant, OD
• Angel Lena Fabriguze, PHARM D
• Rosemarie A Facilla, MSW
• Gilbert Jerry Facio, CSA
• Michelle Marie Faddoul, LCSW#16997
• Haind Fadel, MD
• Amit J Fadia, M.D.

• Family Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.

Verify at the official NPI Registry.