Old Pueblo Cardiology PC
NPI 1568643229ActiveOrganization· Internal Medicine, Cardiovascular Disease· Tucson, AZ
Internal Medicine, Cardiovascular Disease in Tucson, Arizona, registered in NPPES in November 2007. The authorized official on file is Lee Goldberg, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568643229 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 21, 2007 |
| Last updated in NPPES | Jan 20, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
| Clinic/Center, Radiology | 261QR0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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