NPIMap

Individual provider Active NPI

Kevin S Shea, MD

  • Diagnostic Radiology Physician
  • Tucson, AZ
National Provider Identifier
1730146457
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
16143 Issued in AZ
Practice address
2492 E River Rd
Tucson, AZ 85718-9552
Phone
(520) 335-6849
Fax
(520) 459-2191
NPI assigned
Apr 27, 2006
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 197363 NY
Diagnostic Radiology Physician 2085R0202X 16143 AZ Primary

Addresses

Primary practice location

2492 E River Rd
Tucson, AZ 85718-9552

Mailing address

2492 E River Rd
Tucson, AZ 85718-9552
Phone (520) 722-8994

Other identifiers 16

IdentifierTypeStateIssuer
P00140112OtherRR MEDICARE
040901000017OtherFIDELIS
P020197363OtherBLUE SHIELD ROCHESTER
00026123305OtherUNIVERA
1973635WOtherNYWORKERS COMPENSATION
471306MedicaidAZ
00026123303OtherUNIVERA
000525458006OtherBLUE SHIELD WNY
0142867OtherGHI
197255FFOtherPREFERRED CARE
000525458004OtherBLUE SHIELD WNY
01970314MedicaidNY
4194144OtherGHI
P00142429OtherRR MEDICARE
5610364OtherINDEPENDENT HEALTH
P010197363OtherBLUE CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190327000458 AZ Practitioner - Diagnostic Radiology 9830169689 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Cruz Radiology L L CGroup PAC ID 7012996952, 46 clinicians
Southern Arizona Rad Associates LLCGroup PAC ID 9133440753, 25 clinicians

Practice addresses (Care Compare)

1171 W Target Range Rd
Nogales, AZ 85621-2415
Phone (520) 287-2771

151 Colonia de Salud
Sierra Vista, AZ 85635-8223
Phone (520) 263-3900

155 Calle Portal
Suite 500
Sierra Vista, AZ 85635-2973
Phone (520) 459-5227

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone (800) 475-3698

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.01 of 100Reported as group
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Blood and Cancer Specialists, PLLC CurrentSince Jan 10, 2021 Accepting new patients
Southern Arizona Rad Associates, LLC Diagnostic Radiology CurrentSince Feb 25, 2019 Accepting new patients
Arizona Oncology Associates PC Diagnostic Radiology CurrentSince Jan 16, 2019 Accepting new patients
Lakeside Imaging, LLC Diagnostic Radiology Past Accepting new patients
Northtowns Imaging PC Diagnostic Radiology Past Accepting new patients
Sisters Diagnostic Imaging Associates Diagnostic Radiology Past Accepting new patients
Northtowns Imaging PC Diagnostic Radiology Past Accepting new patients
Southtowns Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients
Seton Imaging Radiology PLLC Diagnostic Radiology Past Accepting new patients
Advanced Digestive Care P a Past Accepting new patients

Locations

1710 N Mastick Way
Nogales, AZ 85621

155 Calle Portal
Ste 500
Sierra Vista, AZ 85635
Phone (520) 459-5227

1620 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 624-7445

1845 W Orange Grove Rd
Bldg 2
Tucson, AZ 85704
Phone (520) 531-8967

2492 E River Rd
Tucson, AZ 85718
Phone (520) 335-6849

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

2951 N Swan Rd
Ste 155
Tucson, AZ 85712
Phone (520) 323-5900

3945 E Paradise Falls Dr
Ste 105
Tucson, AZ 85712
Phone (520) 689-7022

3945 E Paradise Falls Dr
Ste 201
Tucson, AZ 85712
Phone (520) 290-5888

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1730146457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2492 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857189552",
            "telephone_number": "520-722-8994",
            "fax_number": "520-624-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2492 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857189552",
            "telephone_number": "520-335-6849",
            "fax_number": "520-459-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "KEVIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "197363",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "16143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00140112",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040901000017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ROCHESTER",
            "identifier": "P020197363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026123305",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "1973635W",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "471306",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026123303",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD WNY",
            "identifier": "000525458006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0142867",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "197255FF",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD WNY",
            "identifier": "000525458004",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01970314",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4194144",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00142429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "5610364",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010197363",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.