Individual provider Active NPI

Rodolfo B Penaflor, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1821072018
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26756 Issued in AZ
Practice address
4730 E Grant Rd
Tucson, AZ 85712-2703
Phone
(520) 290-0300
Fax
(520) 298-9230
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 26756 AZ Primary

Addresses

Primary practice location

4730 E Grant Rd
Tucson, AZ 85712-2703

Mailing address

4730 E Grant Rd
Tucson, AZ 85712-2703
Phone (520) 290-0300

Other identifiers 6

IdentifierTypeStateIssuer
AZ0866370OtherBLUE CROSS BLUE SHIELD
AZ860780125OtherUNITED HEALTHCARE
1Z7532OtherHEALTHNET
860780125OtherCIGNA
AZ860780125OtherPACIFICARE SECURE HORIZON
110203343OtherRR MEDICARE

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
I20100505000504 AZ Practitioner - Internal Medicine 6002944493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Phoenix Collaborative Care PCGroup PAC ID 0941503304, 111 clinicians

Practice addresses (Care Compare)

20040 N 19TH Ave
Phoenix, AZ 85027-4255
Phone (602) 249-0115

5830 N 19TH Ave
Phoenix, AZ 85015-2494
Phone (602) 336-1966

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037213
  • Dependable Home Health, Inc Home health agency, Tucson, AZ, CCN 037070
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26756AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince Apr 1, 2016 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Apr 1, 2016 Accepting new patients
Hospitalists of Arizona, Inc Internal Medicine Past Accepting new patients

Locations

30845 N Cave Creek Rd
Ste 101
Cave Creek, AZ 85331
Phone (480) 342-9547

600 S Dobson Rd
Ste D27
Chandler, AZ 85224
Phone (480) 496-0000

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

1107 E Bell Rd
Ste 3
Phoenix, AZ 85022

6365 E Tanque Verde Rd
Ste 12
Tucson, AZ 85715
Phone (520) 290-0300

4730 E Grant Rd
Tucson, AZ 85712
Phone (520) 290-0300

6365 E Tanque Verde Rd
Ste 120
Tucson, AZ 85715
Phone (520) 290-0300

Interoperability endpoints

  • Direct secure messaging: rpenaflor114251@westdirect.optum.com

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1821072018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122703",
            "telephone_number": "520-290-0300",
            "fax_number": "520-298-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122703",
            "telephone_number": "520-290-0300",
            "fax_number": "520-298-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENAFLOR",
        "first_name": "RODOLFO",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "26756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0866370",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "AZ860780125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z7532",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "860780125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE SECURE HORIZON",
            "identifier": "AZ860780125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110203343",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.