NPIMap

Individual provider Active NPI

Jonnae Y Ostrom, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Tucson, AZ
National Provider Identifier
1972915403
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
59889 Issued in AZ
Practice address
2121 N Craycroft Rd BLDG 5
Tucson, AZ 85712-2801
Phone
(520) 296-8500
Fax
(520) 495-7533
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 59889 AZ Primary

Addresses

Primary practice location

2121 N Craycroft Rd BLDG 5
Tucson, AZ 85712-2801

Mailing address

2121 N Craycroft Rd BLDG 5
Tucson, AZ 85712-2801
Phone (520) 296-8500

Other practice location 1

1358 W Orange Grove Rd
Tucson, AZ 85704-2901
Phone (520) 575-1787

Other identifiers 1

IdentifierTypeStateIssuer
006381MedicaidAZ

Other names 1

  • Jonnae Barry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200604001557 AZ Practitioner - Otolaryngology 7012132996 Reassigns benefits to 3 organizations
I20250612001434 TX Practitioner - Otolaryngology 7012132996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Washington School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological Associates of TucsonGroup PAC ID 5092709527, 60 clinicians
Tucson E.N.T. Associates, P.C.Group PAC ID 9931093853, 15 clinicians
Southeast Alaska Regional Health ConsortiumGroup PAC ID 1456265362, 373 clinicians

Practice addresses (Care Compare)

1358 W Orange Grove Rd
Tucson, AZ 85704-2901
Phone (520) 575-1272

2121 N Craycroft Rd
BLDG 5
Tucson, AZ 85712-2801
Phone (520) 296-8500

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

2450 E River Rd
Tucson, AZ 85718-6522

2450 E River Rd
Tucson, AZ 85718-6526
Phone (520) 795-7750

Hospital & facility affiliations

  • Southeast Alaska Regional Health Consortium Hospital, Sitka, AK, CCN 021314
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064
  • St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011
  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision95
Removal of skin lesions1-10
Skin biopsy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59889AZMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson E.N.T. Associates, P.C. Otolaryngology CurrentSince Jun 1, 2020 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium Otolaryngology CurrentSince Jun 5, 2025 Accepting new patients
Neurological Associates of Tucson CurrentSince Jun 1, 2025 Accepting new patients
Children'S Clinics for Rehabilitative Services CurrentSince Nov 19, 2020 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jun 5, 2025 Accepting new patients
Tucson E.N.T. Associates, P.C. Otolaryngology CurrentSince Jun 1, 2020 Accepting new patients
Tucson E.N.T. Associates, P.C. Otolaryngology Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

2121 N Craycroft Rd
Bldg 5
Tucson, AZ 85712
Phone (520) 296-8500

2450 E River Rd
Tucson, AZ 85718
Phone (520) 795-7750

1358 W Orange Grove Rd
Tucson, AZ 85704
Phone (520) 296-8500

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

6567 E Carondelet Dr
Ste 515
Tucson, AZ 85710
Phone (520) 296-8500

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

Interoperability endpoints

  • Direct secure messaging: jostrom82202@direct.valleymed.org

Organizations & group practices 9

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 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1972915403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N CRAYCROFT RD BLDG 5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122801",
            "telephone_number": "520-296-8500",
            "fax_number": "520-495-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N CRAYCROFT RD BLDG 5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122801",
            "telephone_number": "520-296-8500",
            "fax_number": "520-495-7533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1358 W Orange Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857042901",
            "country_code": "US",
            "telephone_number": "520-575-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTROM",
        "first_name": "JONNAE",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AZ",
            "license": "59889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006381",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONNAE",
            "last_name": "BARRY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.