Individual provider Active NPI

Tracy Lee Thomas, MD

  • Dermatology Physician
  • Tucson, AZ
National Provider Identifier
1871634725
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
40998 Issued in AZ
Practice address
6565 E Carondelet Dr
Suite 145
Tucson, AZ 85710-2157
Phone
(520) 886-4199
Fax
(520) 886-3114
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 40998 AZ Primary

Addresses

Primary practice location

6565 E Carondelet Dr
Suite 145
Tucson, AZ 85710-2157

Mailing address

6565 E Carondelet Dr
Suite 145
Tucson, AZ 85710-2157
Phone (520) 886-4199

Other identifiers 1

IdentifierTypeStateIssuer
Z147252OtherAZMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6565 E Carondelet Dr
Suite 145
Tucson, AZ 85710-2157

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of skin lesions614
Skin biopsy447

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40998AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Dermatology LTD Dermatology CurrentSince Sep 5, 2011 Accepting new patients

Locations

1521 E Tangerine Rd
Ste 205
Oro Valley, AZ 85755
Phone (520) 531-0060

2001 W Orange Grove Rd
Ste 406
Tucson, AZ 85704
Phone (520) 248-6601

6565 E Carondelet Dr
Ste 145
Tucson, AZ 85710
Phone (520) 886-4199

6565 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 575-0944

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1871634725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 E CARONDELET DR",
            "address_2": "SUITE 145",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102157",
            "telephone_number": "520-886-4199",
            "fax_number": "520-886-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 E CARONDELET DR",
            "address_2": "SUITE 145",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102157",
            "telephone_number": "520-886-4199",
            "fax_number": "520-886-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "40998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "Z147252",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.