Individual provider Active NPI

Michael R Probstfeld, MD

  • Surgery Physician
  • Tucson, AZ
National Provider Identifier
1699782565
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25850 Issued in AZ
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

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
203604285OtherAZUNITED
AZ0153320OtherAZBCBS
400789-07OtherAZAHCCCS
10042OtherAZPACIFICARE
2Z3169OtherAZHEALTH 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060124000106 AZ Practitioner - General Surgery 8325062870 Reassigns benefits to 2 organizations

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
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

2424 N Wyatt Dr
Suite 100
Tucson, AZ 85712-6119
Phone (520) 324-8621

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25850AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Dermatology, PLLC CurrentSince Sep 1, 2019 Accepting new patients
TMC Medical Network CurrentSince May 1, 2023 Accepting new patients
Arizona Community Surgeons PC Surgery PastSince Aug 1, 2006 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.