Active NPI
Michael R Probstfeld, MD
- Surgery Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25850
- Practice address
- 2424 N Wyatt Dr Ste 100
Tucson, AZ 85712-6119 - Phone
- (520) 324-8621
- Fax
- (520) 324-3935
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25850 | AZ | Primary |
Addresses
Primary practice location
2424 N Wyatt Dr Ste 100
Tucson, AZ 85712-6119
Mailing address
6422 E Speedway Blvd
Suite 150
Tucson, AZ 85710-1149
Phone (520) 318-3004
Other practice location 1
6422 E Speedway Blvd
Suite 150
Tucson, AZ 85710-1149
Phone (520) 318-3004
Other practice location 2
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 795-8188
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203604285 | Other | AZ | UNITED |
| AZ0153320 | Other | AZ | BCBS |
| 400789-07 | Other | AZ | AHCCCS |
| 10042 | Other | AZ | PACIFICARE |
| 2Z3169 | Other | AZ | HEALTH NET |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- California Eclectic Medical College, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2424 N Wyatt Dr
Suite 100
Tucson, AZ 85712-6119
Phone (520) 324-8621
Hospital & facility affiliations
- Tucson Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25850 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Dermatology, PLLC | Current | Accepting new patients | |
| TMC Medical Network | Current | Accepting new patients | |
| Arizona Community Surgeons PC | Surgery | Past | Accepting new patients |
| Valley ENT, PC | Past | Accepting new patients |
Locations
2394 N Alma School Rd
Chandler, AZ 85224
Phone (480) 735-2118
20950 N Tatum Blvd
Ste 250
Phoenix, AZ 85050
Phone (480) 607-0060
4350 E Camelback Rd
Ste A200
Phoenix, AZ 85018
Phone (602) 954-7546
9500 E Ironwood Square Dr
Ste 110
Scottsdale, AZ 85258
Phone (480) 565-1132
1951 N Wilmot Rd
Ste 2
Tucson, AZ 85712
Phone (520) 795-5845
2424 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 325-0192
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010
2424 N Wyatt Dr
Ste 100
Tucson, AZ 85712
Phone (520) 324-2778
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
-
- Dermatology Physician
- Scottsdale, AZ
- NPI 1922392398
-
- Surgery Physician
- Tucson, AZ
- NPI 1689616070
-
- Otolaryngology Physician
- Scottsdale, AZ
- NPI 1508990185
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1699782565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6422 E SPEEDWAY BLVD",
"address_2": "SUITE 150",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857101149",
"telephone_number": "520-318-3004",
"fax_number": "520-318-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 N WYATT DR STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126119",
"telephone_number": "520-324-8621",
"fax_number": "520-324-3935"
}
],
"practiceLocations": [
{
"address_1": "6422 E Speedway Blvd",
"address_2": "Suite 150",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857101149",
"country_code": "US",
"telephone_number": "520-318-3004",
"fax_number": "520-318-3061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5301 E Grant Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857122805",
"country_code": "US",
"telephone_number": "520-795-8188",
"fax_number": "520-324-0809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROBSTFELD",
"first_name": "MICHAEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "25850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "203604285",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0153320",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "400789-07",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "10042",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2Z3169",
"state": "AZ"
}
],
"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 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.