Desert Mountain Urology

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

43767 Issued in AZ

Legal business name

DESERT MOUNTAIN UROLOGY

Practice address

5170 E Glenn St Ste 100
Tucson, AZ 85712-7301

Phone

(520) 355-5111

Fax

(520) 844-6901

NPI assigned

Jun 6, 2014

Organization subpart

No

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

Authorized official

Name

Anthony Chavez, MDNPI 1104084029

Title

MD

Phone

(520) 355-5111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Chavez, MD

  • Urology Physician
  • Tucson, AZ
  • NPI 1104084029
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1689087694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 E GLENN ST STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857127301",
            "telephone_number": "520-355-5111",
            "fax_number": "520-844-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 E GLENN ST STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857127301",
            "telephone_number": "520-355-5111",
            "fax_number": "520-844-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MOUNTAIN UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "520-355-5111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AZ",
            "license": "43767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Medical Group, LTD
• Desert Medical Offices LLC
• Desert Milagros, LLC
• Desert Mountain Counseling, LLC
• Desert Mountain Health Center
• Desert Oasis Healthy Living, LLC
• Desert Oasis Personalized Care PLLC
• Desert Pain and Rehab Specialists, PLLC
• Desert Palms First Assist, PLLC
• Desert Palms Physical Therapy PC

• Urology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.