Organization Active NPI

Ayaaz Ismail MD PLLC

  • Gastroenterology Physician
  • Tucson, AZ
National Provider Identifier
1841460748
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
29921 Issued in AZ
Legal business name
AYAAZ ISMAIL MD PLLC
Practice address
6130 N la Cholla Blvd
Suite 210
Tucson, AZ 85741-3557
Phone
(520) 575-5003
Fax
(520) 296-6224
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Ayaaz Ismail, MD
Title
Owner of Practice
Phone
(520) 722-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 29921 AZ Primary

Addresses

Primary practice location

6130 N la Cholla Blvd
Suite 210
Tucson, AZ 85741-3557

Mailing address

PO Box 43130
Tucson, AZ 85733-3130
Phone (520) 722-3777

Other identifiers 1

IdentifierTypeStateIssuer
319232MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1841460748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333130",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 N LA CHOLLA BLVD",
            "address_2": "SUITE 210",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413557",
            "telephone_number": "520-575-5003",
            "fax_number": "520-296-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYAAZ ISMAIL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "AYAAZ",
        "authorized_official_title_or_position": "OWNER OF PRACTICE",
        "authorized_official_telephone_number": "520-722-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "29921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319232",
            "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 Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.