Individual provider Active NPI

Osama M Mukhtar, MD

  • Pulmonary Disease Physician
  • Tucson, AZ
National Provider Identifier
1851775753
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
66400 Issued in AZ
Practice address
2055 W Hospital Dr Ste 205
Tucson, AZ 85704-7822
Phone
(520) 575-6944
Fax
(520) 575-1115
NPI assigned
Jul 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 66577 MN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 66400 AZ
Pulmonary Disease Physician 207RP1001X 66400 AZ Primary

Addresses

Primary practice location

2055 W Hospital Dr Ste 205
Tucson, AZ 85704-7822

Mailing address

2055 W Hospital Dr Ste 205
Tucson, AZ 85704-7822
Phone (520) 575-6944

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address osama.mukhtar.1@1576.direct.athenahealth.com

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
I20220611000366 AZ Practitioner - Pulmonary Disease 0143642363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66400AZMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Aug 1, 2022 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

1521 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 784-1293

1521 E Tangerine Rd
Ste 291
Oro Valley, AZ 85755
Phone (520) 219-4450

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

4001 E Sunrise Dr
Ste 161
Tucson, AZ 85718
Phone (520) 232-5280

2055 W Hospital Dr
Ste 205
Tucson, AZ 85704
Phone (520) 575-6944

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1851775753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 W HOSPITAL DR STE 205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047822",
            "telephone_number": "520-575-6944",
            "fax_number": "520-575-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 W HOSPITAL DR STE 205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047822",
            "telephone_number": "520-575-6944",
            "fax_number": "520-575-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHTAR",
        "first_name": "OSAMA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-10",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MN",
            "license": "66577",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "66400",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "66400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "osama.mukhtar.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2055 W Hospital Dr Ste 205",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857047822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.