Individual provider Active NPI

Jennifer Hallum, M.D.

  • Hematology & Oncology Physician
  • Tucson, AZ
National Provider Identifier
1811966286
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
21706 Issued in AZ
Practice address
1845 W Orange Grove Rd BLDG 2
Tucson, AZ 85704-1144
Phone
(520) 531-8967
Fax
(520) 742-7180
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21706 AZ
Hematology & Oncology Physician 207RH0003X 21706 AZ Primary

Addresses

Primary practice location

1845 W Orange Grove Rd BLDG 2
Tucson, AZ 85704-1144

Mailing address

PO Box 910221
Dallas, TX 75391-0221
Phone (520) 519-7700

Other identifiers 1

IdentifierTypeStateIssuer
150342MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000451 AZ Practitioner - Internal MedicinePractitioner - Infectious Disease 4284822768 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Oncology Associates PC Internal Medicine CurrentSince Jun 1, 2002 Accepting new patients
Arizona State Radiology, PC Past Accepting new patients

Locations

1760 E River Rd
Ste 350
Tucson, AZ 85718
Phone (520) 519-7720

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

2070 W Rudasill Rd
Ste 110
Tucson, AZ 85704
Phone (520) 797-3630

603 N Wilmot Rd
Ste 151
Tucson, AZ 85711
Phone (520) 420-2560

1845 W Orange Grove Rd
Bldg 2
Tucson, AZ 85704
Phone (520) 531-8967

2070 W Rudasill Rd
Ste 130
Tucson, AZ 85704
Phone (520) 420-2520

2951 N Swan Rd
Ste 155
Tucson, AZ 85712
Phone (520) 323-5900

Interoperability endpoints

  • Direct secure messaging: jennifer.hallum@aoa.ikm.direct-ci.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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1811966286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910221",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753910221",
            "telephone_number": "520-519-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W ORANGE GROVE RD BLDG 2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041144",
            "telephone_number": "520-531-8967",
            "fax_number": "520-742-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLUM",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "21706",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "21706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150342",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.