Individual provider Active NPI

Troy Virgil Maypa Taduran, D.O.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Tucson, AZ
National Provider Identifier
1760697890
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
05-34185 Issued in KS
Practice address
395 N Silverbell Rd
101
Tucson, AZ 85745-2675
Phone
(520) 882-0696
Fax
(520) 624-0024
NPI assigned
May 11, 2007
Last updated
Mar 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 05-34185 KS Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 05-34185 KS
Family Medicine Physician 207Q00000X 05-34185 KS

Addresses

Primary practice location

395 N Silverbell Rd
101
Tucson, AZ 85745-2675

Mailing address

PO Box 31630
Tucson, AZ 85751-1630
Phone (580) 784-6200

Other identifiers 3

IdentifierTypeStateIssuer
OS 9896OtherFLLICENSE
05-34185OtherKSLICENSE
006444OtherAZLICENSE

Other names 1

  • Troy M Taduran Other name

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
I20140730002088 AZ Practitioner - Sports Medicine 9133213812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Kansas City Medical College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6320 N la Cholla Blvd
Suite 200
Tucson, AZ 85741-3549
Phone (520) 382-8200

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-34185KSMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Orthopaedic Institute Professional Corporation CurrentSince May 1, 2016 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation CurrentSince May 1, 2016 Accepting new patients

Locations

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

12315 N Vistoso Park Rd
Oro Valley, AZ 85755
Phone (520) 382-8180

1521 E Tangerine Rd
Ste 201
Oro Valley, AZ 85755
Phone (520) 229-2080

395 N Silverbell Rd
Ste 101
Tucson, AZ 85745
Phone (520) 882-0696

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5301 E Grant Rd
Bldg 1
Tucson, AZ 85712

5301 E Grant Rd
Fl 1
Tucson, AZ 85712
Phone (520) 640-1200

6320 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 219-9125

6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741

6320 N La Cholla Blvd
Ste 310
Tucson, AZ 85741
Phone (520) 219-9125

8333 N Silverbell Rd
Ste 141
Tucson, AZ 85743
Phone (520) 545-9286

Interoperability endpoints

  • Direct secure messaging: ttaduran@tucsonortho.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1760697890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31630",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511630",
            "telephone_number": "580-784-6200",
            "fax_number": "520-784-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD",
            "address_2": "101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452675",
            "telephone_number": "520-882-0696",
            "fax_number": "520-624-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADURAN",
        "first_name": "TROY VIRGIL",
        "middle_name": "MAYPA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "KS",
            "license": "05-34185",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "KS",
            "license": "05-34185",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-34185",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS 9896",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "05-34185",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "006444",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TROY",
            "last_name": "TADURAN",
            "middle_name": "M",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.