NPIMap

Individual provider Active NPI

Andrew Michael Epstein, D.O.

  • General Practice Physician
  • Tucson, AZ
National Provider Identifier
1902141930
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
006454 Issued in AZ
Practice address
2375 N Wyatt Dr
Suite 107 and 109
Tucson, AZ 85712-2152
Phone
(520) 577-1136
NPI assigned
Dec 3, 2012
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 006454 AZ Primary

Addresses

Primary practice location

2375 N Wyatt Dr
Suite 107 and 109
Tucson, AZ 85712-2152

Mailing address

2375 N Wyatt Dr
Suite 107 and 109
Tucson, AZ 85712-2152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL, CA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151020001825 AZ Practitioner - General Practice 2567771256 Reassigns benefits to 2 organizations
I20220103001763 FL Practitioner - General PracticePractitioner - Dermatology 2567771256 Reassigns benefits to 1 organization
I20251031003538 CA Practitioner - General Practice 2567771256 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 S Hope St
Apt 416
Los Angeles, CA 90012-5018

PO Box
Suite 3066
Alhambra, CA 91803

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16661CAMDAddiction (Substance Use Disorder) Counselor
006454AZMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PHX Mobile Wound Care LLC General Practice CurrentSince Oct 10, 2025 Accepting new patients
Radiant Hearts Health PA General Practice CurrentSince Jan 1, 2026 Accepting new patients
Premier Wound RX LLC General Practice CurrentSince Oct 1, 2025 Accepting new patients
Zion Health and Wellness of California General Practice CurrentSince Jul 22, 2025 Accepting new patients
Mobile Wound Care Specialist LLC General Practice CurrentSince Nov 18, 2024 Accepting new patients

Locations

13832 N 32nd St
#C124
Phoenix, AZ 85032
Phone (480) 234-3568

227 S Highland Ave
Unit B
Apopka, FL 32703
Phone (754) 946-2792

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Desert Sky Hospice LLCPhoenix, AZ, CCN 001538 Hospice Contracted Managing Employee May 20, 2021
Carelife Hospice LLCPhoenix, AZ, CCN 001577 Hospice Contracted Managing Employee May 12, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1902141930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 N WYATT DR",
            "address_2": "SUITE 107 AND 109",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 N WYATT DR",
            "address_2": "SUITE 107 AND 109",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122152",
            "telephone_number": "520-577-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-03",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "006454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.