Individual provider Active NPI

Guillermo Higa Sansone, M.D.

  • Surgery Physician
  • Tucson, AZ
National Provider Identifier
1871763540
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
52155 Issued in AZ
Practice address
1712 W Anklam Rd Ste 101
Tucson, AZ 85745-2660
Phone
(520) 207-2384
Fax
(520) 367-4297
NPI assigned
Mar 10, 2008
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 52155 AZ Primary

Addresses

Primary practice location

1712 W Anklam Rd Ste 101
Tucson, AZ 85745-2660

Mailing address

1712 W Anklam Rd Ste 101
Tucson, AZ 85745-2660
Phone (520) 207-2384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110809000474 OR Practitioner - General Surgery 1557553674 Reassigns benefits to 1 organization
I20181009002881 AZ Practitioner - General Surgery 1557553674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Tucson Weight Loss SurgeryGroup PAC ID 9234594649, 3 clinicians

Practice addresses (Care Compare)

1712 W Anklam Rd
Suite 101
Tucson, AZ 85745-2660
Phone (520) 207-2384

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Weight Loss Surgery Surgery CurrentSince Oct 28, 2022 Accepting new patients
Tucson Physician Group Holdings, LLC CurrentSince Sep 7, 2018 Accepting new patients
TMC Medical Network CurrentSince Jul 15, 2023 Accepting new patients
Willamette Valley Clinics LLC Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
Tucson Medical Center Past Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients
Ajay Bhatnagar, PLLC Past Accepting new patients
Carondelet Medical Group Inc Past Accepting new patients

Locations

1712 W Anklam Rd
Ste 101
Tucson, AZ 85745
Phone (520) 207-2384

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

5155 E Farness Dr
Ste 111A
Tucson, AZ 85712
Phone (520) 298-3300

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5301 E Grant Rd
Unit 480
Tucson, AZ 85712

6565 E Carondelet Dr
Ste 155
Tucson, AZ 85710
Phone (520) 849-8900

6567 E Carondelet Dr
Ste 555
Tucson, AZ 85710
Phone (520) 885-3588

8290 S Houghton Rd
Ste 100
Tucson, AZ 85747
Phone (520) 833-5200

8826 E Tanque Verde Rd
Tucson, AZ 85749
Phone (520) 760-8972

254 NE Norton Ln
McMinnville, OR 97128
Phone (503) 472-6161

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565

2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 8

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 2

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": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1871763540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 W ANKLAM RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452660",
            "telephone_number": "520-207-2384",
            "fax_number": "520-367-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 W ANKLAM RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452660",
            "telephone_number": "520-207-2384",
            "fax_number": "520-367-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGA SANSONE",
        "first_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "52155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.