Individual provider Active NPI

Tomas A. Acuna, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1972890648
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47381 Issued in AZ
Practice address
20940 N Tatum Blvd Ste 300
Phoenix, AZ 85050
Phone
(480) 607-0060
Fax
(480) 607-5809
NPI assigned
Jul 1, 2011
Last updated
Aug 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47381 AZ Primary

Addresses

Primary practice location

20940 N Tatum Blvd Ste 300
Phoenix, AZ 85050

Mailing address

20940 N Tatum Blvd Ste 300
Phoenix, AZ 85050-7273
Phone (480) 607-0060

Other identifiers 1

IdentifierTypeStateIssuer
863350MedicaidAZ

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
I20150611001835 AZ Practitioner - Family Practice 2668793910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tiffany Nelson MD PLCGroup PAC ID 9436138708, 10 clinicians

Practice addresses (Care Compare)

20940 N Tatum Blvd
Suite 300
Phoenix, AZ 85050-7273
Phone (480) 607-0060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47381AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Nelson MD PLC Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Dignity Health PastSince Sep 17, 2018 Accepting new patients
Phoenician Medical Center, Inc Family Medicine Past Accepting new patients

Locations

20940 N Tatum Blvd
Ste 300
Phoenix, AZ 85050
Phone (480) 607-0060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/29438/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tomas.acuna.1@29438.direct.athenahealth.com
  • Direct secure messaging: tomas.acunalopezmd.p1@direct.desertridgefp.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1972890648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507273",
            "telephone_number": "480-607-0060",
            "fax_number": "480-607-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85050",
            "telephone_number": "480-607-0060",
            "fax_number": "480-607-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACUNA",
        "first_name": "TOMAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "47381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "863350",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.