Individual provider Active NPI

Michael Feldman, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Tucson, AZ
National Provider Identifier
1790724466
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
20404 Issued in AZ
Practice address
Banner Univ Medical Center
1501 N Campbell Avenue, Orthopaedic Surgery, RM 8401
Tucson, AZ 85724-8572
Phone
(520) 626-4024
Fax
(520) 626-2668
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X MD207481 LA
Orthopaedic Surgery Physician 207X00000X 8363 RI
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 20404 AZ Primary

Addresses

Primary practice location

Banner Univ Medical Center
1501 N Campbell Avenue, Orthopaedic Surgery, RM 8401
Tucson, AZ 85724-8572

Mailing address

Banner Univ Medical Center
1501 N. Campbell Ave, Orthopaedic Surgery
Tucson, AZ 85724-2429
Phone (520) 626-4024

Other identifiers 3

IdentifierTypeStateIssuer
04721012MedicaidMS
1780672709OtherORGANIZATION NPI#
2380842MedicaidLA

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
I20190326000664 AZ Practitioner - Sports Medicine 9032196019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

265 W Ina Rd
Tucson, AZ 85704-6204
Phone (520) 694-5437

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8363RIMDOrthopaedic Surgery Physician
20404AZMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group Orthopaedic Surgery CurrentSince Jan 14, 2019 Accepting new patients
Banner-University Medical Group CurrentSince Jan 14, 2019 Accepting new patients
Banner - University Medical Center Tucson Campus LLC Past Accepting new patients

Locations

707 N Alvernon Way
Ste 20
Tucson, AZ 85711

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

2800 E Ajo Way
Ste 200
Tucson, AZ 85713
Phone (520) 462-0248

1501 N Campbell Ave
Rm 8401
Tucson, AZ 85724
Phone (520) 626-4024

707 N Alvernon Way
Ste 205
Tucson, AZ 85711
Phone (520) 694-8000

265 W Ina Rd
Tucson, AZ 85704
Phone (520) 694-8000

2800 E Ajo Way
Bldg 200
Tucson, AZ 85713
Phone (520) 874-2000

1501 N Campbell Ave
Tucson, AZ 85724
Phone (520) 626-7747

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1790724466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BANNER UNIV MEDICAL CENTER",
            "address_2": "1501 N. CAMPBELL AVE, ORTHOPAEDIC SURGERY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857242429",
            "telephone_number": "520-626-4024",
            "fax_number": "520-626-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BANNER UNIV MEDICAL CENTER",
            "address_2": "1501 N CAMPBELL AVENUE, ORTHOPAEDIC SURGERY, RM 8401",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857248572",
            "telephone_number": "520-626-4024",
            "fax_number": "520-626-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "LA",
            "license": "MD207481",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "8363",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "20404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04721012",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI#",
            "identifier": "1780672709",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2380842",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.