David A Boswell, M.D.
Individual provider Active NPI Emergency Medicine Physician · Tucson, AZ
NPI 1699775528 · NPPES record last updated Jan 13, 2015
Key facts
- NPI
- 1699775528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 24226 (AZ)
- Practice address
- 1601 W Saint Marys Rd
Tucson, AZ 85745-2623 - Phone
- (520) 872-6266
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America-Arizona LLP
Practice addresses (Care Compare)
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 872-4901
Hospital & facility affiliations
- St. Mary'S Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100407000308 | AZ | Practitioner - Emergency Medicine | 3274565338 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians Emergency Medicine of Arizona, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Cep America-Arizona LLP | Emergency Medicine | Current |
Accepting new patients |
| Emergency Room Associates | Past | Accepting new patients | |
| Banner-University Medical Group | Emergency Medicine | Past | Accepting new patients |
Locations
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
5620 W Cortaro Farms Rd
Tucson, AZ 85742
Phone (520) 872-4000
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
7401 S Wilmot Rd
Tucson, AZ 85756
Phone (520) 493-0499
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 24226 | AZ | Yes |
Addresses
Primary practice location
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Mailing address
630 N Alvernon Way
Suite 250
Tucson, AZ 85711-1843
Phone (520) 647-8854
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358532 | Medicaid | AZ |
Other providers in Tucson, AZ
- Krasen Boshnakov
- Myles Horace Mireku Bosompem
- Sara Elizabeth Bossom
- Lori Boston
- Meagane Bryhann Boston
- Alicia Bothwell
- Erin Bottai
- Sarah Grace Bottazzi
- Gino Bottino
- Esta Carline Bottorff
All providers in Tucson, AZ · Emergency Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.