NPIMap

Individual provider Active NPI

Harvey Maksvytis, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1770550220
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18473 Issued in AZ
Practice address
1 W Broadway Blvd Ste 151
Tucson, AZ 85701-3029
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Mar 3, 2006
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18473 AZ
Internal Medicine Physician 207R00000X 18473 AZ Primary

Addresses

Primary practice location

1 W Broadway Blvd Ste 151
Tucson, AZ 85701-3029

Mailing address

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Other identifiers 1

IdentifierTypeStateIssuer
163200MedicaidAZ

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
I20040331000513 AZ Practitioner - Internal Medicine 0547252512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18473AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey Maksvytis, MD Internal Medicine CurrentSince Jun 22, 2004 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Oct 1, 2021 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Oct 1, 2021 Accepting new patients
Pima Heart Physicians, PC Past Accepting new patients
Northwest Allied Physicians LLC Internal Medicine PastSince Jun 1, 2006 Accepting new patients
Community Partners Integrated Healthcare, Inc. PastSince Mar 1, 2021 Accepting new patients
Northwest Allied Physicians, LLC Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients
Carondelet Medical Group Inc PastSince Jun 8, 2020 Accepting new patients

Locations

6261 N La Cholla Blvd
Ste 211
Tucson, AZ 85741
Phone (520) 229-3300

6261 N La Cholla Blvd
Ste 277
Tucson, AZ 85741
Phone (520) 694-6800

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

Interoperability endpoints

  • Direct secure messaging: hmaksvytis21905@elrio.direct.ci.com

Organizations & group practices 9

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 1

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1770550220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W BROADWAY BLVD STE 151",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857013029",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKSVYTIS",
        "first_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "18473",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "18473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163200",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.