Individual provider Active NPI

Ikeotunye Royal Chinyere, MD, PHD

  • Cardiovascular Disease Physician
  • Tucson, AZ
National Provider Identifier
1659060101
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R80182 Issued in AZ
Practice address
3838 N Campbell Ave Ste C
Tucson, AZ 85719-1454
Phone
(520) 694-8888
NPI assigned
May 2, 2023
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R80182 AZ
Cardiovascular Disease Physician 207RC0000X R80182 AZ Primary

Addresses

Primary practice location

3838 N Campbell Ave Ste C
Tucson, AZ 85719-1454

Mailing address

PO Box 245046
Tucson, AZ 85724-5046

Other practice location 1

3601 S 6th Ave
Tucson, AZ 85723-0001
Phone (520) 792-1450 ext. 4881

Other names 1

  • Dr. Ike Royal Chinyere Other name

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
I20230628002461 AZ Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3173981867

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1659060101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245046",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N CAMPBELL AVE STE C",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191454",
            "telephone_number": "520-694-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 S 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857230001",
            "country_code": "US",
            "telephone_number": "520-792-1450 x4881",
            "fax_number": "520-629-4631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHINYERE",
        "first_name": "IKEOTUNYE",
        "middle_name": "ROYAL",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-02",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R80182",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "R80182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IKE",
            "last_name": "CHINYERE",
            "middle_name": "ROYAL",
            "prefix": "DR.",
            "credential": "MD, PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.