Efrain Israel Cubillo IV, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

46229 Issued in AZ

Practice address

4582 N 1St Ave Ste 170
Tucson, AZ 85718-8607

Phone

(520) 318-6035

Fax

(520) 318-6035

NPI assigned

Jun 6, 2011

Last updated

Jun 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pain Management

Education

University of Arizona College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain Institute of Southern Arizona Pisa PCGroup PAC ID 4688615362, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

45.68 of 100Reported as group

Quality

40.49

Promoting interoperability

0

Improvement activities

30

Cost

74.27

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72783

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.

• Pain Institute of Southern Arizona Pisa PC

  • Pain Medicine (Anesthesiology) Physician
  • Tucson, AZ
  • NPI 1861575078
  Medicare reassignment Care Compare group NPD
• Pisa ASC Holdco LLC

  dba Pain Institute of Southern Arizona Procedure Center

  • Ambulatory Surgical Clinic/Center
  • Tucson, AZ
  • NPI 1174185649
  Medicare reassignment NPD
• Pain Institute of Southern Arizona Pisa PC

  dba Regional Pain Institute

  • Pain Medicine (Anesthesiology) Physician
  • San Tan Valley, AZ
  • NPI 1780268912
  NPD
• Todd C Case MD PC

  • Plastic Surgery Physician
  • Tucson, AZ
  • NPI 1942455506
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1750675864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4582 N 1ST AVE STE 170",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188607",
            "telephone_number": "520-318-6035",
            "fax_number": "520-765-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4582 N 1ST AVE STE 170",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188607",
            "telephone_number": "520-318-6035",
            "fax_number": "520-318-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBILLO",
        "first_name": "EFRAIN",
        "middle_name": "ISRAEL",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "46229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "ZPENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly L Cruz, CAREGIVER
• Kevin Luis Cruz
• Maria Concepcion Cruz
• Matilda Cruz, CNA
• CSL-Tucson, LLC (Woodland Palms Assisted Living and Memory Care)
• Firishta Gheyasi Cubillo, M.ED., BCBA, LBA
• Devvin L Cubra, PA-C
• Trevor Clancy Cubra, DDS
• Christa Ann Cuellar, FNP-C
• Jazmin Esmeralds Cuellar

• Pain Medicine (Anesthesiology) Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.