Active NPI
Peter Wanes, MD
- Anatomic Pathology & Clinical Pathology Physician
- Tucson, AZ
National Provider Identifier
1780147348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- R77401
- Practice address
- 1501 N Campbell Ave
Tucson, AZ 85724-0001 - Phone
- (520) 225-8785
- NPI assigned
- Apr 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R77401 | AZ | Primary |
Addresses
Primary practice location
1501 N Campbell Ave
Tucson, AZ 85724-0001
Mailing address
1501 N Campbell Ave
Tucson, AZ 85724-0001
Phone (520) 225-8785
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 1111 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
424 S 56TH St
Suite 120
Phoenix, AZ 85034-2177
Phone (602) 685-5211
4301 N Star Way
Suite a
Modesto, CA 95356-9262
Phone (209) 577-1200
Hospital & facility affiliations
- Doctors Medical Center
- Adventist Health Sonora
- Memorial Medical Center
- Northbay Medical Center
- Emanuel Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R77401 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yosemite Pathology Medical Group, Inc | Cytopathology | Current | Accepting new patients |
| Pathology Specialist of Arizona, LLP | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Yosemite Pathology Medical Group, in | Past | Accepting new patients | |
| Sonoran Radiology LTD | Past | Accepting new patients |
Locations
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
424 S 56th St
Ste 120
Phoenix, AZ 85034
Phone (480) 478-8059
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
4301 N Star Way
Modesto, CA 95356
Phone (915) 521-2290
4301 N Star Way
Ste A
Modesto, CA 95356
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1174503999
-
- Anatomic Pathology & Clinical Pathology Physician
- Modesto, CA
- NPI 1598760985
Cytopathology
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
-
- Clinical Medical Laboratory
- Tracy, CA
- NPI 1114192176
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1396087672
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1780147348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857240001",
"telephone_number": "520-225-8785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857240001",
"telephone_number": "520-225-8785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANES",
"first_name": "PETER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "R77401",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "1111",
"affiliation": "N",
"address_1": "1501 N Campbell Ave",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857240001",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 3, 2019; 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.