Individual provider Active NPI

Rebecca Egbert, MD

  • Hospitalist Physician
  • Tucson, AZ
National Provider Identifier
1790841641
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
37607 Issued in AZ
Practice address
5155 E Farness Dr
Suite 111C
Tucson, AZ 85712-2158
Phone
(520) 326-3434
Fax
(520) 326-1047
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 137607 AZ
Pediatrics Physician 208000000X 01060806A IN
Hospitalist Physician 208M00000X 37607 AZ Primary

Addresses

Primary practice location

5155 E Farness Dr
Suite 111C
Tucson, AZ 85712-2158

Mailing address

5155 E Farness Dr
Suite 111C
Tucson, AZ 85712-2158
Phone (520) 326-3434

Other practice location 1

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-4156

Other identifiers 2

IdentifierTypeStateIssuer
165610ROtherAZMEDICAID GROUP NUMBER
200523110MedicaidAZ

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
I20080924000546 AZ Practitioner - Pediatric Medicine 1355372780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Arizona College of Medicine, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Children'S Clinics for Rehabilitative ServicesGroup PAC ID 2264503408, 22 clinicians

Practice addresses (Care Compare)

2600 N Wyatt Dr
Tucson, AZ 85712-6106
Phone (520) 324-5437

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
137607AZMDPediatrics Physician
01060806AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Clinics for Rehabilitative Services CurrentSince Jun 1, 2018 Accepting new patients
Banner-University Medical Group Family Medicine Past Accepting new patients
Madison County Community Health Centers, Inc. Past Accepting new patients

Locations

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1790841641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 E FARNESS DR",
            "address_2": "SUITE 111C",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122158",
            "telephone_number": "520-326-3434",
            "fax_number": "520-326-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 E FARNESS DR",
            "address_2": "SUITE 111C",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122158",
            "telephone_number": "520-326-3434",
            "fax_number": "520-326-1047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122805",
            "country_code": "US",
            "telephone_number": "520-324-4156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGBERT",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "137607",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01060806A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "37607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "165610R",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200523110",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.