Individual provider Active NPI

Richard L Klassen, M.D.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1770699100
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42615 Issued in AZ
Practice address
2500 N Silverbell Rd
Suite 100
Tucson, AZ 85745-7062
Phone
(520) 777-2288
Fax
(520) 777-2290
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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 42615 AZ Primary
Occupational Medicine Physician 2083X0100X 42615 AZ

Addresses

Primary practice location

2500 N Silverbell Rd
Suite 100
Tucson, AZ 85745-7062

Mailing address

2500 N Silverbell Rd
Suite 100
Tucson, AZ 85745-7062
Phone (520) 777-2288

Other identifiers 1

IdentifierTypeStateIssuer
489225MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42615AZMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC CurrentSince Feb 24, 2016 Accepting new patients
Holy Family Memorial Inc Past Accepting new patients

Locations

400 W Camino Casa Verde
#300
Green Valley, AZ 85614
Phone (520) 625-1760

400 W Camino Casa Verde
Ste 100
Green Valley, AZ 85614
Phone (520) 625-1760

15920 S Rancho Sahuarita Blvd
Ste 120
Sahuarita, AZ 85629
Phone (520) 575-1175

630 N Alvernon Way
Ste 251
Tucson, AZ 85711
Phone (520) 322-8460

2500 N Silverbell Rd
Ste 100
Tucson, AZ 85745
Phone (520) 777-2288

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1770699100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N SILVERBELL RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857457062",
            "telephone_number": "520-777-2288",
            "fax_number": "520-777-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N SILVERBELL RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857457062",
            "telephone_number": "520-777-2288",
            "fax_number": "520-777-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLASSEN",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "42615",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AZ",
            "license": "42615",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "489225",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.