Active NPI
Tina Eun Sil Pai, MD
- Dermatology Physician
- Tucson, AZ
National Provider Identifier
1972630366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 27886
- Practice address
- 6127 N la Cholla Blvd
Ste. 101
Tucson, AZ 85741-3743 - Phone
- (520) 797-8885
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 27886 | AZ | Primary |
Addresses
Primary practice location
6127 N la Cholla Blvd
Ste. 101
Tucson, AZ 85741-3743
Mailing address
6127 N la Cholla Blvd
Ste. 101
Tucson, AZ 85741-3743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 31, 2016 through Oct 31, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27886 | AZ | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972630366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6127 N LA CHOLLA BLVD",
"address_2": "STE. 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6127 N LA CHOLLA BLVD",
"address_2": "STE. 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413743",
"telephone_number": "520-797-8885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAI",
"first_name": "TINA",
"middle_name": "EUN SIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "27886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.