Individual provider Active NPI

Mireille Jabroun, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Tucson, AZ
National Provider Identifier
1942780267
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
63280 Issued in AZ
Practice address
707 N Alvernon Way Ste 301
Tucson, AZ 85711-1848
Phone
(520) 694-1460
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 63280 AZ Primary

Addresses

Primary practice location

707 N Alvernon Way Ste 301
Tucson, AZ 85711-1848

Mailing address

707 N Alvernon Way Ste 301
Tucson, AZ 85711-1848
Phone (520) 874-5581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210907000468 AZ Practitioner - OphthalmologyPractitioner - Pediatric Medicine 5193121838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Pediatric Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

707 N Alvernon Way
Suite 301
Tucson, AZ 85711-1848
Phone (520) 694-1460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Aug 30, 2021 Accepting new patients
Children's Clinics for Rehabilitative Services CurrentSince Nov 18, 2021 Accepting new patients
Banner-University Medical Group CurrentSince Aug 30, 2021 Accepting new patients
Banner-University Medical Group Ophthalmology Current Accepting new patients

Locations

1625 N Campbell Ave
Tucson, AZ 85719

707 N Alvernon Way
Ste 30
Tucson, AZ 85711

707 N Alvernon Way
Ste 301
Tucson, AZ 85711
Phone (520) 694-1460

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1942780267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N ALVERNON WAY STE 301",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111848",
            "telephone_number": "520-874-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N ALVERNON WAY STE 301",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111848",
            "telephone_number": "520-694-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABROUN",
        "first_name": "MIREILLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "AZ",
            "license": "63280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.