Individual provider Active NPI

Rahim Khajeh, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1982024246
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54512 Issued in AZ
Practice address
7510 N Oracle Rd Ste 100
Tucson, AZ 85704-4447
Phone
(520) 324-4910
Fax
(520) 324-4491
NPI assigned
Apr 24, 2014
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 54512 AZ Primary

Addresses

Primary practice location

7510 N Oracle Rd Ste 100
Tucson, AZ 85704-4447

Mailing address

3501 E Speedway Blvd
Tucson, AZ 85716-3917
Phone (520) 833-5171

Other practice location 1

4892 N Stone Ave
Tucson, AZ 85704-5761
Phone (520) 396-1360

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
I20170905001304 AZ Practitioner - Family Practice 6507144169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

7510 N Oracle Rd
Suite 100
Tucson, AZ 85704-4447
Phone (520) 324-4230

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Dec 1, 2023 Accepting new patients

Locations

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

2424 N Wyatt Dr
Ste 100
Tucson, AZ 85712
Phone (520) 324-2778

2840 E Skyline Dr
Ste 230
Tucson, AZ 85718
Phone (520) 324-1214

7510 N Oracle Rd
Ste 100
Tucson, AZ 85704
Phone (520) 324-4230

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

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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1982024246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163917",
            "telephone_number": "520-833-5171",
            "fax_number": "520-276-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 N ORACLE RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044447",
            "telephone_number": "520-324-4910",
            "fax_number": "520-324-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4892 N Stone Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857045761",
            "country_code": "US",
            "telephone_number": "520-396-1360",
            "fax_number": "520-795-9043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAJEH",
        "first_name": "RAHIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-24",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "54512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.