Active NPI
Robert J Kingston, M.D.
- Emergency Medicine Physician
- Tucson, AZ
National Provider Identifier
1841290590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 12867
- Practice address
- 630 N Alvernon Way
Suite 250
Tucson, AZ 85711-1843 - Phone
- (520) 647-8854
- Fax
- (520) 647-8851
- NPI assigned
- Jul 22, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 12867 | AZ | Primary |
Addresses
Primary practice location
630 N Alvernon Way
Suite 250
Tucson, AZ 85711-1843
Mailing address
630 N Alvernon Way
Suite 250
Tucson, AZ 85711-1843
Phone (520) 647-8854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254649 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Room Associates | Past | Accepting new patients | |
| Banner-University Medical Group | Emergency Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Emergency Medicine
-
- Physician Assistant
- Tucson, AZ
- NPI 1457576068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1841290590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 N ALVERNON WAY",
"address_2": "SUITE 250",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111843",
"telephone_number": "520-647-8854",
"fax_number": "520-647-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 N ALVERNON WAY",
"address_2": "SUITE 250",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111843",
"telephone_number": "520-647-8854",
"fax_number": "520-647-8851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSTON",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "12867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254649",
"state": "AZ"
}
],
"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 Jan 15, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.