Active NPI
Alexander M Perrian, MD
- Internal Medicine Physician
- Tucson, AZ
National Provider Identifier
1669456844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23321
- Practice address
- 6365 E Tanque Verde Rd
Suite 120
Tucson, AZ 85715-3830 - Phone
- (520) 290-0300
- Fax
- (520) 298-9230
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23321 | AZ | Primary |
Addresses
Primary practice location
6365 E Tanque Verde Rd
Suite 120
Tucson, AZ 85715-3830
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (520) 290-0300
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1Z7530 | Other | HEALTHNET | |
| 002000166 | Other | CIGNA | |
| 1420406 | Other | UNITED HEALTHCARE | |
| 110111218 | Other | RR MEDICARE | |
| 98985 | Other | PACIFICARE SECRUE HORIZON | |
| AZ0380220 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23321 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1669456844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "520-290-0300",
"fax_number": "520-298-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6365 E TANQUE VERDE RD",
"address_2": "SUITE 120",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153830",
"telephone_number": "520-290-0300",
"fax_number": "520-298-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRIAN",
"first_name": "ALEXANDER",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "23321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1Z7530",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "002000166",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1420406",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110111218",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE SECRUE HORIZON",
"identifier": "98985",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0380220",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.