Individual provider Active NPI

Marshall Caraveo, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1871949800
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R75537 Issued in AZ
Practice address
1501 N Campbell Ave
Department of Medicine 6TH Floor, Room 6336
Tucson, AZ 85724-5040
Phone
(520) 626-2761
NPI assigned
May 9, 2016
Last updated
Jul 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R75537 AZ Primary

Addresses

Primary practice location

1501 N Campbell Ave
Department of Medicine 6TH Floor, Room 6336
Tucson, AZ 85724-5040

Mailing address

3540 E Bermuda St
Apt 7
Tucson, AZ 85716-2359
Phone (505) 620-7126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20191119001834 NM Practitioner - Internal Medicine 4385938620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New Mexico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cura HealthcareGroup PAC ID 5799143103, 81 clinicians
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

Albuquerque, NM 87110
Phone (505) 413-3719

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R75537AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Nov 1, 2019 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Nov 1, 2019 Accepting new patients
Cura Healthcare Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Lovelace Health System LLC Past Accepting new patients
Lovelace Health System, LLC Past Accepting new patients
Lovelace Health System, LLC Past Accepting new patients

Locations

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

Interoperability endpoints

  • Direct secure messaging: mcaraveo273872@ahs.direct-ci.com

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 3

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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1871949800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 E BERMUDA ST",
            "address_2": "APT 7",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162359",
            "telephone_number": "505-620-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "address_2": "DEPARTMENT OF MEDICINE 6TH FLOOR, ROOM 6336",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245040",
            "telephone_number": "520-626-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAVEO",
        "first_name": "MARSHALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R75537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.