Individual provider Active NPI

Patrick Michael Chiasson, MD

  • Surgery Physician
  • Tucson, AZ
National Provider Identifier
1861458754
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
29820 Issued in AZ
Practice address
6230 N la Cholla Blvd Ste 250
Tucson, AZ 85741-3529
Phone
(520) 219-8690
Fax
(520) 219-8694
NPI assigned
Apr 21, 2006
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 29820 AZ
Surgery Physician 208600000X 29820 AZ Primary

Addresses

Primary practice location

6230 N la Cholla Blvd Ste 250
Tucson, AZ 85741-3529

Mailing address

6230 N la Cholla Blvd Ste 250
Tucson, AZ 85741-3529
Phone (520) 219-8690

Other identifiers 1

IdentifierTypeStateIssuer
626856MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patrick.chiasson.1@1576.direct.athenahealth.com Direct

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
I20051025000313 AZ Practitioner - General Surgery 1456336072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

6130 N la Cholla Blvd
Tucson, AZ 85741-3698

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 469-8100

8333 N Silverbell Rd
Suite 161
Tucson, AZ 85743-7371
Phone (520) 202-7770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux165

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Aug 31, 2018 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Aug 31, 2018 Accepting new patients
Northwest Hospital LLC Past Accepting new patients
Banner-University Medical Group Past Accepting new patients
Valley ENT, PC Past Accepting new patients
Southern Arizona Center for Minimally Invasive Surgery, PC Surgery PastSince Jun 17, 2002 Accepting new patients

Locations

400 W Camino Casa Verde
Ste 100
Green Valley, AZ 85614
Phone (520) 625-1760

6130 N La Cholla Blvd
Ste 250
Tucson, AZ 85741
Phone (520) 219-8690

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

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

901 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 384-3541

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1861458754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 N LA CHOLLA BLVD STE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529",
            "telephone_number": "520-219-8690",
            "fax_number": "520-219-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 N LA CHOLLA BLVD STE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529",
            "telephone_number": "520-219-8690",
            "fax_number": "520-219-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIASSON",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "29820",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "29820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626856",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patrick.chiasson.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6230 N La Cholla Blvd Ste 250",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857413529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.