Edward C Alderete, M.D.
Individual provider Active NPI Neonatal-Perinatal Medicine Physician · Tucson, AZ
NPI 1720040504 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1720040504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal-Perinatal Medicine Physician 2080N0001X
- License
- MD2020-0382 (NM)
- Practice address
- 6200 N la Cholla Blvd
Tucson, AZ 85741-3529 - Phone
- (520) 742-9000
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NM, 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 |
|---|---|---|---|---|
| I20210216001860 | NM | Practitioner - Pediatric Medicine | 8820148190 | Reassigns benefits to 1 organization |
| I20250807002206 | AZ | Practitioner - Pediatric Medicine | 8820148190 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66241 | AZ | MD | Neonatal-Perinatal Medicine Physician |
| MD2020-0382 | NM | MD | Neonatal-Perinatal Medicine Physician |
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group, Inc. | Current |
Accepting new patients | |
| Unm Medical Group Inc | Current |
Accepting new patients | |
| Northwest HBP Medical Services LLC | Hospitalist | Current |
Accepting new patients |
| PHC-Las Cruces Inc | Past | Accepting new patients | |
| SMSJ Tucson Holdings LLC | Past | Accepting new patients | |
| Memorial Medical Center | Past | Accepting new patients | |
| Santa Maria Neonatology Inc a Professional Corporation | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Pediatric Inpatient Specialists PC | Hospitalist | Past | Accepting new patients |
Locations
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 66241 | AZ | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD2020-0382 | NM | Yes |
Addresses
Primary practice location
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Mailing address
1400 E Church St
Santa Maria, CA 93454-5906
Phone (805) 739-3358
Other practice location 1
1400 E Church St
Santa Maria, CA 93454-5906
Phone (805) 739-3358
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G3055140 | Medicaid | CA | |
| BT488 | Other | CA | PALMETTO GBA: PART B PTAN |
| G30551 | Other | CA | MEDICAL LICENSE |
Other providers in Tucson, AZ
- Francisco Javier Aldama
- Casey Aldava
- Francisca Gloria Alday
- Vanessa Rivera Aldecoa
- Joy B Alden
- Cynthia Dawn Alderink
- Fawaz Aldoohan
- Sarah Jane Aldor
- Anne Rebecca Aldrich
- Tammy Lynn Aldrich
All providers in Tucson, AZ · Neonatal-Perinatal 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 Jul 24, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.