Individual provider Active NPI

Jennifer Tay, M.D.

  • Neurology Physician
  • Tucson, AZ
National Provider Identifier
1912269804
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
R73307 Issued in AZ
Practice address
1501 N Campbell Ave
University of Arizona Dept of Neurology
Tucson, AZ 85724-5023
Phone
(520) 626-2006
Fax
(520) 626-2111
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X R73307 AZ Primary

Addresses

Primary practice location

1501 N Campbell Ave
University of Arizona Dept of Neurology
Tucson, AZ 85724-5023

Mailing address

1501 N Campbell Ave
Uof a Dept of Neurology (Letty Gastelum)
Tucson, AZ 85724-5023
Phone (520) 626-2006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20181211003737 NV Practitioner - Neurology 5395062715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Nov 29, 2018 Accepting new patients
Community Care Services LLC Family Medicine CurrentSince Nov 29, 2018 Accepting new patients
Community Care Services LLC Neurology Past Accepting new patients

Locations

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

75 Pringle Way
Ste 401
Reno, NV 89502
Phone (775) 982-2970

Interoperability endpoints

  • Direct secure messaging: jtay145313@direct.renown.org

Organizations & group practices 3

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1912269804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "address_2": "UOF A DEPT OF NEUROLOGY (LETTY GASTELUM)",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245023",
            "telephone_number": "520-626-2006",
            "fax_number": "520-626-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "address_2": "UNIVERSITY OF ARIZONA DEPT OF NEUROLOGY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245023",
            "telephone_number": "520-626-2006",
            "fax_number": "520-626-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAY",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "R73307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.