Individual provider Active NPI

Heather Christine Harasty, M.D. ,PHD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1790941490
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125055328 Issued in IL
Practice address
3601 S 6TH Ave
Tucson, AZ 85723-4606
Phone
(520) 792-1450
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125055328 IL Primary

Addresses

Primary practice location

3601 S 6TH Ave
Tucson, AZ 85723-4606

Mailing address

3601 S 6TH Ave
Tucson, AZ 85723-0001
Phone (520) 792-1450

Other identifiers 1

IdentifierTypeStateIssuer
01825338MedicaidMS

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
I20170505000438 AZ Practitioner - Internal Medicine 7618145301 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 873-3000

Hospital & facility affiliations

  • St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011
  • Benson Hospital Hospital, Benson, AZ, CCN 031301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125055328ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
American Physicians, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Tucson Physician Group Holdings, LLC Internal Medicine CurrentSince Jan 20, 2025 Accepting new patients
American Physicians, Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Jul 3, 2018 Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 6

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1790941490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857230001",
            "telephone_number": "520-792-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857234606",
            "telephone_number": "520-792-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARASTY",
        "first_name": "HEATHER",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D. ,PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125055328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01825338",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.