Organization Active NPI

Primary Med Clinic LLC

Doing business as Primary Med Clinic

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1942007414
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY MED CLINIC LLC
Doing business as
Primary Med Clinic
Practice address
4717 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone
(412) 225-5090
NPI assigned
Mar 3, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Pawan Chabra
Title
Owner
Phone
(412) 225-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

4717 E Camp Lowell Dr
Tucson, AZ 85712-1256

Mailing address

4717 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (412) 225-5090

Other names 1

  • Primary Med Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251215003496 AZ Part B Supplier - Clinic/Group Practice 4688168883 Receives reassigned benefits from 2 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

3605 W Cortaro Farms Rd
Ste 157
Tucson, AZ 85742
Phone (520) 333-5902

4717 E Camp Lowell Dr
Tucson, AZ 85712
Phone (412) 225-5090

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1942007414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "412-225-5090",
            "fax_number": "520-666-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "412-225-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MED CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-13",
        "status": "A",
        "authorized_official_last_name": "CHABRA",
        "authorized_official_first_name": "PAWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-225-5090"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Med Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.