Individual provider Active NPI

Mireille C Algazi, MD

  • Dermatology Physician
  • Tucson, AZ
National Provider Identifier
1780677492
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
26221 Issued in AZ
Practice address
3190 N Swan Rd
Tucson, AZ 85712-1227
Phone
(520) 547-9700
Fax
(520) 547-9719
NPI assigned
Aug 26, 2005
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 26221 AZ
Dermatology Physician 207N00000X 26221 AZ Primary

Addresses

Primary practice location

3190 N Swan Rd
Tucson, AZ 85712-1227

Mailing address

4801 E Broadway Blvd Ste 251
Tucson, AZ 85711-2700
Phone (520) 327-0460

Other identifiers 1

IdentifierTypeStateIssuer
Z140242OtherAZMEDICARE PTAN

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
I20040629000306 AZ Practitioner - Dermatology 4789673468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Diego School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Community Physicians PCGroup PAC ID 4587560552, 162 clinicians

Practice addresses (Care Compare)

2055 W Hospital Dr
Tucson, AZ 85704-7892
Phone (520) 547-5725

3190 N Swan Rd
Tucson, AZ 85712-1227
Phone (570) 547-9700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of tissue1-10
Removal of skin lesions580
Removal or shaving of skin growth39
Skin biopsy167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26221AZMDChild Mental Illness Respite Care

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Dermatology, PLLC Specialist CurrentSince Sep 1, 1998 Accepting new patients
Arizona Community Physicians PC Current Accepting new patients
Arizona Community Physician PC CurrentSince Oct 15, 2010 Accepting new patients

Locations

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

2732 N Alvernon Way
Tucson, AZ 85712
Phone (520) 319-1100

3190 N Swan Rd
Tucson, AZ 85712
Phone (520) 547-9700

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

630 N Alvernon Way
Ste 180
Tucson, AZ 85711
Phone (520) 322-8450

Interoperability endpoints

  • Direct secure messaging: malgazi18219@azacp.direct-ci.com

Organizations & group practices 3

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1780677492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E BROADWAY BLVD STE 251",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112700",
            "telephone_number": "520-327-0460",
            "fax_number": "520-795-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121227",
            "telephone_number": "520-547-9700",
            "fax_number": "520-547-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALGAZI",
        "first_name": "MIREILLE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "26221",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "26221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z140242",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.