Individual provider Active NPI

Arthi Hannallah, MD

  • Pediatric Urology Physician
  • Tucson, AZ
National Provider Identifier
1679969802
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
66286 Issued in AZ
Practice address
5166 E Glenn St
Tucson, AZ 85712-1337
Phone
(520) 795-5338
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 66286 AZ Primary
Pediatric Urology Physician 2088P0231X W2430 TX

Addresses

Primary practice location

5166 E Glenn St
Tucson, AZ 85712-1337

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Other practice location 1

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220721002672 AZ Practitioner - UrologyPractitioner - Pediatric Medicine 3577944537 Reassigns benefits to 2 organizations
I20260417002962 CA Practitioner - Urology 3577944537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Arizona College of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3250 Wilshire Blvd
Suite 1101
Los Angeles, CA 90010-1513

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W2430TXMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pediatric Surgery LTD CurrentSince Aug 1, 2022 Accepting new patients
TMC Medical Network CurrentSince Aug 1, 2022 Accepting new patients
Children'S Clinics for Rehabilitative Services CurrentSince Mar 16, 2023 Accepting new patients

Locations

10350 E Drexel Rd
Unit 110
Tucson, AZ 85747
Phone (520) 324-1727

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

5166 E Glenn St
Tucson, AZ 85712
Phone (520) 795-5338

Organizations & group practices 5

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1679969802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5166 E GLENN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121337",
            "telephone_number": "520-795-5338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-298-5444",
            "fax_number": "915-298-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNALLAH",
        "first_name": "ARTHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "AZ",
            "license": "66286",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "TX",
            "license": "W2430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.