Individual provider Active NPI

Patricia Kane, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Tucson, AZ
National Provider Identifier
1750471900
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
24619 Issued in AZ
Practice address
3620 N Mountain Ave
Tucson, AZ 85719-1938
Phone
(520) 882-5145
Fax
(520) 882-7504
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 24619 AZ Primary

Addresses

Primary practice location

3620 N Mountain Ave
Tucson, AZ 85719-1938

Mailing address

6408 E Tanque Verde Rd
Tucson, AZ 85715-3809
Phone (520) 885-5558

Other identifiers 1

IdentifierTypeStateIssuer
406076MedicaidAZ

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
I20040405001320 AZ Practitioner - Psychiatry 6709879968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arizona College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aleph Center, P.L.L.C.Group PAC ID 0143209809, 13 clinicians

Practice addresses (Care Compare)

6408 E Tanque Verde Rd
Tucson, AZ 85715-3809
Phone (520) 885-5558

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aleph Center, P.L.L.C. Psychiatry CurrentSince Jun 27, 2016 Accepting new patients
Lafrontera Center Inc. PastSince Jul 21, 2024 Accepting new patients

Locations

6408 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 885-5558

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1750471900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153809",
            "telephone_number": "520-885-5558",
            "fax_number": "520-885-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N MOUNTAIN AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191938",
            "telephone_number": "520-882-5145",
            "fax_number": "520-882-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "AZ",
            "license": "24619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406076",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.