Individual provider Active NPI

Mary S Crowell, D.O.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1780927251
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
010260 Issued in AZ
Practice address
1550 W Valencia Rd
Tucson, AZ 85746-6018
Phone
(844) 969-0686
Fax
(773) 832-7083
NPI assigned
Apr 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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 OP60645171 WA
Family Medicine Physician 207Q00000X 010260 AZ Primary

Addresses

Primary practice location

1550 W Valencia Rd
Tucson, AZ 85746-6018

Mailing address

PO Box 24981
Belfast, ME 04915-2000
Phone (844) 969-0686

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mary.crowell@tsmh.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20161123000620 ID Practitioner - Family Practice 1557685203 Reassigns benefits to 1 organization
I20230823000716 AZ Practitioner - Family Practice 1557685203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

5620 W Thunderbird Rd
Suite C1
Glendale, AZ 85306-4639
Phone (888) 698-6727

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010260AZMDFamily Medicine Physician
OP60645171WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients

Locations

5620 W Thunderbird Rd
Ste C1
Glendale, AZ 85306
Phone (602) 843-1317

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

1550 W Valencia Rd
Tucson, AZ 85746
Phone (520) 741-2342

1550 W Valencia Rd
Ste 150
Tucson, AZ 85746

Interoperability endpoints

  • Direct secure messaging: mary.crowell.1@19654.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1780927251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24981",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152000",
            "telephone_number": "844-969-0686",
            "fax_number": "773-832-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466018",
            "telephone_number": "844-969-0686",
            "fax_number": "773-832-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWELL",
        "first_name": "MARY",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60645171",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "010260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.crowell@tsmh.medicity.net",
            "affiliation": "N",
            "address_1": "2841 Juniper Dr",
            "city": "Lewiston",
            "state": "ID",
            "country_code": "US",
            "postal_code": "835014719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.