Individual provider Active NPI

Gisele Denepitiya, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1780240044
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
72515 Issued in AZ
Practice address
434 E University Blvd # 100
Tucson, AZ 85705-7851
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 72515 AZ Primary

Addresses

Primary practice location

434 E University Blvd # 100
Tucson, AZ 85705-7851

Mailing address

PO Box 548
Tucson, AZ 85702-0548
Phone (520) 383-7200

Other practice location 1

PO Box 548
Sells, AZ 85634-0548
Phone (520) 383-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220921001598 MA Practitioner - Family Practice 4385029750 Reassigns benefits to 1 organization
I20240227002130 TX Practitioner - Family Practice 4385029750 Reassigns benefits to 4 organizations
I20260508001068 AZ Practitioner - Family Practice 4385029750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Rio Santa Cruz Neighborhood Health Center, Inc.Group PAC ID 6305739244, 283 clinicians
Ton Sells HospitalGroup PAC ID 5092768663, 51 clinicians
Ton San Simon Health CenterGroup PAC ID 8123194354, 7 clinicians

Practice addresses (Care Compare)

434 E University Blvd
Tucson, AZ 85705-7851
Phone (520) 670-3909

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

Highway 86 at Topawa Rd
Sells Indian Hospital
Sells, AZ 85634
Phone (520) 383-7285

Hwy 86 Milepost 84
Sells, AZ 85634
Phone (520) 362-7007

Hospital & facility affiliations

  • Sells Hospital Hospital, Sells, AZ, CCN 030074

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72515AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ton Santa Rosa Health Center CurrentSince Feb 1, 2024 Accepting new patients
Ton San Simon Health Center CurrentSince Nov 24, 2024 Accepting new patients
Ton San Simon Health Center CurrentSince Feb 1, 2024 Accepting new patients
Ton Sells Hospital CurrentSince Feb 1, 2024 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Sep 30, 2022 Accepting new patients
Umass Memorial Medical Group Inc Family Medicine CurrentSince Sep 30, 2022 Accepting new patients
Ton San Xavier Health Center CurrentSince Feb 1, 2024 Accepting new patients
Ton Sells Hospital Past Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients

Locations

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

15 West St
East Douglas, MA 01516
Phone (508) 476-2828

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 11

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1780240044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857020548",
            "telephone_number": "520-383-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 E UNIVERSITY BLVD # 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057851",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 548",
            "address_purpose": "LOCATION",
            "city": "Sells",
            "state": "AZ",
            "postal_code": "856340548",
            "country_code": "US",
            "telephone_number": "520-383-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENEPITIYA",
        "first_name": "GISELE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "72515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.