Active NPI
Robert E Rogers Jr., MD
- Internal Medicine Physician
- Tucson, AZ
National Provider Identifier
1871579904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9607
- Practice address
- 630 N Alvernon Way
#251
Tucson, AZ 85711-1843 - Phone
- (520) 322-8460
- Fax
- (520) 323-5742
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 9607 | AZ | Primary |
Addresses
Primary practice location
630 N Alvernon Way
#251
Tucson, AZ 85711-1843
Mailing address
2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 322-8460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255986 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9607 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1871579904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 N FORBES BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451412",
"telephone_number": "520-322-8460",
"fax_number": "520-323-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 N ALVERNON WAY",
"address_2": "#251",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111843",
"telephone_number": "520-322-8460",
"fax_number": "520-323-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "ROBERT",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "9607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255986",
"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 Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.