Active NPI
Cassandra Ballantyne, MD
- Internal Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R78555
- Practice address
- 4730 E Grant Rd
Tucson, AZ 85712-2703 - Phone
- (520) 290-0300
- Fax
- (520) 298-9230
- NPI assigned
- Apr 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | R78555 | AZ | Primary |
Addresses
Primary practice location
4730 E Grant Rd
Tucson, AZ 85712-2703
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240827001603 | AZ | Practitioner - Internal Medicine | 0143620625 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of North Dakota School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Greater Phoenix Collaborative Care PC
Practice addresses (Care Compare)
4730 E Grant Rd
Tucson, AZ 85712-2703
Phone (702) 480-2550
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Dependable Home Health, Inc
- Tucson Medical Center
- St Joseph'S Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Phoenix Collaborative Care PC | Single Specialty | Current | Accepting new patients |
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients | |
| Arizona Medical Services, PC | Single Specialty | Past | Accepting new patients |
Locations
695 S Pecan Tree Ln
Green Valley, AZ 85614
Phone (520) 625-8116
5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115
1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966
4730 E Grant Rd
Tucson, AZ 85712
Phone (520) 290-0300
1669 W Ina Rd
Ste 141
Tucson, AZ 85704
Phone (520) 795-6183
Interoperability endpoints
- cballantyne113323@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.
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1790581742
Hospital & facility affiliations 6
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1851973192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203",
"fax_number": "702-838-1456"
},
{
"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": "BALLANTYNE",
"first_name": "CASSANDRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": "R78555",
"primary": true
}
],
"identifiers": [],
"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 Nov 19, 2024; 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.