Individual provider Active NPI

Stephanie Fakhry Tonos, MD

  • Internal Medicine Physician
  • Green Valley, AZ
National Provider Identifier
1942721865
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
59647 Issued in AZ
Practice address
1295 W Duval Mine Rd Ste 101
Green Valley, AZ 85614-5004
Phone
(520) 570-7570
NPI assigned
Jun 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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 59647 AZ Primary

Addresses

Primary practice location

1295 W Duval Mine Rd Ste 101
Green Valley, AZ 85614-5004

Mailing address

506 Lenox Avenue
New York, NY 10037
Phone (212) 939-2291

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie.fakhry.tonos.1@1576.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231218000417 NC Practitioner - Internal Medicine 3173948254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
International Clinic of the Carolinas PLLCGroup PAC ID 2365566924, 6 clinicians

Practice addresses (Care Compare)

2406 Blue Ridge Rd
Raleigh, NC 27607-6680
Phone (919) 782-4884

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59647AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
International Clinic of the Carolinas PLLC Internal Medicine CurrentSince Oct 16, 2023 Accepting new patients

Locations

2406 Blue Ridge Rd
Ste 170
Raleigh, NC 27607
Phone (919) 782-4884

2406 Blue Ridge Rd
Ste 205
Raleigh, NC 27607
Phone (919) 782-4884

Interoperability endpoints

  • Direct secure messaging: stephanie.fakhry.tonos.1@1576.direct.athenahealth.com

Organizations & group practices 1

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1942721865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 LENOX AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10037",
            "telephone_number": "212-939-2291",
            "fax_number": "212-939-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 W DUVAL MINE RD STE 101",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145004",
            "telephone_number": "520-570-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHRY TONOS",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "59647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.fakhry.tonos.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1295 W DuVal Mine Rd Ste 101",
            "city": "Green Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856145004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.