Active NPI
Rodolfo B Penaflor, MD
- Internal Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 26756
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0866370 | Other | BLUE CROSS BLUE SHIELD | |
| AZ860780125 | Other | UNITED HEALTHCARE | |
| 1Z7532 | Other | HEALTHNET | |
| 860780125 | Other | CIGNA | |
| AZ860780125 | Other | PACIFICARE SECURE HORIZON | |
| 110203343 | Other | RR 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
Enrollment records 1
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
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
- Dependable Home Health, Inc
- Tucson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26756 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Current | 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
- 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.
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1790581742
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tucson, AZ
- NPI 1063743078
-
- Home Health Agency
- Tucson, AZ
- NPI 1841221751
-
- Home Health Agency
- Tucson, AZ
- NPI 1902847973
-
- Home Health Agency
- Tucson, AZ
- NPI 1700888757
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.