Individual provider Active NPI

Roshanak Habibi, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Tucson, AZ
National Provider Identifier
1639559032
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
56110 Issued in AZ
Practice address
6130 N la Cholla Blvd
Suite 240
Tucson, AZ 85704
Phone
(520) 326-1457
Fax
(530) 326-1464
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 56110 AZ Primary

Addresses

Primary practice location

6130 N la Cholla Blvd
Suite 240
Tucson, AZ 85704

Mailing address

6130 N la Cholla Blvd
Suite 240
Tucson, AZ 85704
Phone (520) 326-1457

Other identifiers 1

IdentifierTypeStateIssuer
1639559032MedicaidIL

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
I20180825000254 AZ Practitioner - EndocrinologyPractitioner - Internal Medicine 6204185150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Endocrine Associates PLLCGroup PAC ID 2961482864, 4 clinicians

Practice addresses (Care Compare)

5910 N la Cholla Blvd
Tucson, AZ 85741-3535
Phone (520) 297-0404

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Endocrine Associates PLLC Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2025 Accepting new patients
Northwest Allied Physicians LLC Internal Medicine CurrentSince Sep 15, 2024 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

1773 W Saint Marys Rd
Ste 202
Tucson, AZ 85745
Phone (520) 297-0404

6130 N La Cholla Blvd
Ste 240
Tucson, AZ 85741
Phone (520) 326-1457

6050 N Corona Rd
Bldg 1
Tucson, AZ 85704
Phone (520) 297-0404

5910 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 297-0404

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCACBA

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": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1639559032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 N LA CHOLLA BLVD",
            "address_2": "SUITE 240",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-326-1457",
            "fax_number": "530-326-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 N LA CHOLLA BLVD",
            "address_2": "SUITE 240",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-326-1457",
            "fax_number": "530-326-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIBI",
        "first_name": "ROSHANAK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "56110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639559032",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.