Individual provider Active NPI

Lloyd Anselmo Coaker, MD

  • Pulmonary Disease Physician
  • Tucson, AZ
National Provider Identifier
1851368443
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
11272 Issued in AZ
Practice address
1775 W Saint Marys Rd
Suite 114
Tucson, AZ 85745-2696
Phone
(520) 792-2908
Fax
(520) 624-6876
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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 11272 AZ
Pulmonary Disease Physician 207RP1001X 11272 AZ Primary

Addresses

Primary practice location

1775 W Saint Marys Rd
Suite 114
Tucson, AZ 85745-2696

Mailing address

PO Box 35760
Tucson, AZ 85740-5760
Phone (520) 722-0777

Other identifiers 1

IdentifierTypeStateIssuer
21493001MedicaidAZ

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
I20051110000609 AZ Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9537187273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
University of Michigan Medical School, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1775 W Saint Marys Rd
Suite 114
Tucson, AZ 85745-2655
Phone (520) 792-2908

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lloyd a. Coaker, MD, PC Pulmonary Disease CurrentSince Aug 1, 2016 Accepting new patients

Locations

1601 W Saint Marys Rd
Ste 100
Tucson, AZ 85745
Phone (520) 872-3000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

1775 W Saint Marys Rd
Ste 114
Tucson, AZ 85745
Phone (520) 792-2908

Interoperability endpoints

  • Direct secure messaging: lloydacoakermdpc.lloydacoaker@160084.advancedmd-direct.com

Organizations & group practices 1

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 2

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1851368443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35760",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857405760",
            "telephone_number": "520-722-0777",
            "fax_number": "520-290-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 W SAINT MARYS RD",
            "address_2": "SUITE 114",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452696",
            "telephone_number": "520-792-2908",
            "fax_number": "520-624-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAKER",
        "first_name": "LLOYD",
        "middle_name": "ANSELMO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "11272",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "11272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21493001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.