Individual provider Active NPI

Talal Moukabary, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Tucson, AZ
National Provider Identifier
1679788418
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
42117 Issued in AZ
Practice address
3501 E Speedway Blvd
Tucson, AZ 85716-3917
Phone
(520) 833-5171
Fax
(520) 318-7107
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 42117 AZ
Clinical Cardiac Electrophysiology Physician 207RC0001X 42117 AZ Primary
Internal Medicine Physician 207R00000X 42117 AZ

Addresses

Primary practice location

3501 E Speedway Blvd
Tucson, AZ 85716-3917

Mailing address

445 N Silverbell Rd
Suite 201
Tucson, AZ 85745-2685
Phone (520) 396-1370

Other identifiers 1

IdentifierTypeStateIssuer
825848MedicaidAZ

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
I20131017000327 AZ Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 6103084124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

3838 N Campbell Ave
BLDG 1
Tucson, AZ 85719-1454
Phone (520) 694-2873

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42117AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group Family Medicine CurrentSince Jun 22, 2020 Accepting new patients
Banner-University Medical Group CurrentSince Jun 22, 2020 Accepting new patients
Arizona Diagnostic Pathology Associates PLLC PastSince Oct 27, 2024 Accepting new patients

Locations

1141 S La Canada Dr
Green Valley, AZ 85614
Phone (520) 694-3030

3533 Canyon de Flores
Ste C
Sierra Vista, AZ 85650
Phone (520) 458-2000

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

8290 S Houghton Rd
Ste 150
Tucson, AZ 85747
Phone (520) 694-1045

3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873

2945 W Ina Rd
Ste 121
Tucson, AZ 85741
Phone (520) 694-7601

3838 N Campbell Ave
#2
Tucson, AZ 85719

3838 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-2873

445 N Silverbell Rd
Ste 201
Tucson, AZ 85745
Phone (520) 396-1370

1625 N Campbell Ave
Tucson, AZ 85719

6261 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 297-1490

8020 N Cortaro Rd
Ste 150
Tucson, AZ 85743
Phone (520) 694-1041

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1679788418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N SILVERBELL RD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452685",
            "telephone_number": "520-396-1370",
            "fax_number": "520-396-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163917",
            "telephone_number": "520-833-5171",
            "fax_number": "520-318-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUKABARY",
        "first_name": "TALAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "42117",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "42117",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "42117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825848",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.