NPIMap

Individual provider Active NPI

Kiyan Rad, D.O

  • Adolescent Medicine (Internal Medicine) Physician
  • Tucson, AZ
National Provider Identifier
1649690769
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
008152 Issued in AZ
Practice address
5983 E Grant Rd Ste 101
Tucson, AZ 85712-2366
Phone
(520) 420-1966
Fax
(866) 733-1907
NPI assigned
Apr 16, 2014
Last updated
Aug 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 1649690769 FL
Internal Medicine Physician 207R00000X 1649690769 FL
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 008152 AZ Primary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 8152 AZ

Addresses

Primary practice location

5983 E Grant Rd Ste 101
Tucson, AZ 85712-2366

Mailing address

PO Box 89520
Tucson, AZ 85752-9520
Phone (520) 420-1966

Other practice location 1

15883 N Oracle Rd Ste 101
Tucson, AZ 85739-9202
Phone (520) 232-2525

Other practice location 2

15883 N Oracle Rd Ste 155
Tucson, AZ 85739-9117
Phone (520) 420-1966

Other practice location 3

6567 E Carondelet Dr Ste 475
Tucson, AZ 85710-6152
Phone (520) 420-1966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170816000672 MI Practitioner - Family PracticePractitioner - Internal Medicine 0143592881 Reassigns benefits to 1 organization
I20191209000531 AZ Practitioner - Internal Medicine 0143592881 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians
Arizona Physician Group PLLCGroup PAC ID 4688045297, 8 clinicians

Practice addresses (Care Compare)

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 872-3000

5983 E Grant Rd
Suite 101
Tucson, AZ 85712-2366
Phone (520) 420-1966

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8152AZMDAnesthesiology Physician
1649690769FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanova Urgent Care PLLC CurrentSince Oct 24, 2022 Accepting new patients
Sanova Physical Medicine PLLC CurrentSince Dec 16, 2025 Accepting new patients
Tucson Physician Group Holdings, LLC Internal Medicine CurrentSince Oct 10, 2024 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Arizona Physician Group PLLC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
American Physicians, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Sanova Pulmonary PLLC CurrentSince Jan 7, 2026 Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Aug 8, 2017 Accepting new patients
American Physicians, Inc Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Vista Specialty Hospital of Tucson, LLC Past Accepting new patients
Mount Lemmon Healthcare LLC PastSince Jun 16, 2024 Accepting new patients
Encompass Health Rehabilitation Hospital of Northwest Tucson, LLC Past Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients
Park Waverly Healthcare LLC Past Accepting new patients
CHG Hospital Tucson, LLC Past Accepting new patients

Locations

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

15883 N Oracle Rd
Tucson, AZ 85739
Phone (520) 232-2525

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

2040 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 300-6115

2900 E Milber St
Tucson, AZ 85714
Phone (520) 294-0005

333 N Wilmot Rd
Ste 340
Tucson, AZ 85711
Phone (480) 426-0614

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

4310 E Grant Rd
Tucson, AZ 85712
Phone (520) 323-9351

5983 E Grant Rd
Ste 101
Tucson, AZ 85712
Phone (520) 420-1966

6567 E Carondelet Dr
Ste 475
Tucson, AZ 85710
Phone (520) 420-1966

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Villa Maria Post Acute and RehabilitationTucson, AZ, CCN 035147 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Jun 16, 2024
Jun 16, 2024
Jun 16, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1649690769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89520",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857529520",
            "telephone_number": "520-420-1966",
            "fax_number": "866-733-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5983 E GRANT RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122366",
            "telephone_number": "520-420-1966",
            "fax_number": "866-733-1907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15883 N Oracle Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857399202",
            "country_code": "US",
            "telephone_number": "520-232-2525",
            "fax_number": "520-842-7577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15883 N Oracle Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857399117",
            "country_code": "US",
            "telephone_number": "520-420-1966",
            "fax_number": "866-733-1907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6567 E Carondelet Dr Ste 475",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857106152",
            "country_code": "US",
            "telephone_number": "520-420-1966",
            "fax_number": "866-733-1907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAD",
        "first_name": "KIYAN",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "1649690769",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "1649690769",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "AZ",
            "license": "008152",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "AZ",
            "license": "8152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.