Individual provider Active NPI

Ray Jonathan Lara, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Oro Valley, AZ
National Provider Identifier
1750583951
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
005067 Issued in AZ
Practice address
2506 E Vistoso Commerce Loop Ste 180
Oro Valley, AZ 85755-9114
Phone
(520) 775-3333
Fax
(520) 775-3334
NPI assigned
Jun 1, 2007
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 005067 AZ Primary

Addresses

Primary practice location

2506 E Vistoso Commerce Loop Ste 180
Oro Valley, AZ 85755-9114

Mailing address

2506 E Vistoso Commerce Loop Ste 180
Oro Valley, AZ 85755-9114
Phone (520) 775-3333

Other practice location 1

3320 N Campbell Ave Ste 180
Tucson, AZ 85719-2389
Phone (520) 775-3333

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
I20080710000266 AZ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 7113099920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Michigan State University College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Ear Nose and ThroatGroup PAC ID 1951626472, 14 clinicians

Practice addresses (Care Compare)

2506 E Vistoso Commerce Loop
Suite 180
Oro Valley, AZ 85755-9114
Phone (520) 447-8400

3320 N Campbell Ave
Suite 150
Tucson, AZ 85719-2398
Phone (520) 775-3333

7650 E Broadway Blvd
Suite 109
Tucson, AZ 85710-3772
Phone (520) 600-7970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005067AZMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Ear Nose and Throat CurrentSince Jun 12, 2015 Accepting new patients

Locations

1521 E Tangerine Rd
Ste 331
Oro Valley, AZ 85755
Phone (520) 276-2033

2506 E Vistoso Commerce Loop
Ste 180
Oro Valley, AZ 85755
Phone (520) 447-8400

3320 N Campbell Ave
Ste 150
Tucson, AZ 85719
Phone (520) 775-3333

6340 N Campbell Ave
Ste 256
Tucson, AZ 85718
Phone (520) 441-9733

7650 E Broadway Blvd
Ste 109
Tucson, AZ 85710
Phone (520) 600-7970

Organizations & group practices 1

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 2

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1750583951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 E VISTOSO COMMERCE LOOP STE 180",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857559114",
            "telephone_number": "520-775-3333",
            "fax_number": "520-775-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 E VISTOSO COMMERCE LOOP STE 180",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857559114",
            "telephone_number": "520-775-3333",
            "fax_number": "520-775-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 N Campbell Ave Ste 180",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857192389",
            "country_code": "US",
            "telephone_number": "520-775-3333",
            "fax_number": "520-775-3334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARA",
        "first_name": "RAY",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AZ",
            "license": "005067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.