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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GREGORY PHILLIPS CARLISLE DO
NPI 1164082913
Pediatrics - Pediatric Critical Care Medicine in Tucson, AZ

Active since June 14, 2019PECOS Enrolled
1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 694-0111(520) 694-6204 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2026, Jun 14, 2019 (2 updates tracked since 2019).

About Gregory Phillips Carlisle Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY PHILLIPS CARLISLE DO (NPI 1164082913) is an individual pediatric critical care medicine provider in Tucson, Arizona, licensed in Arizona (012651T) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Rowan University School Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1164082913
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameGREGORY PHILLIPS CARLISLECredential: DO
Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330
Mailing Address1625 N Campbell AveTucson, AZ 85719-4330 · (520) 694-0111 · Fax (520) 694-6204
Phone(520) 694-0111
Fax(520) 694-6204
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2019
Enumeration DateJune 14, 2019
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1164082913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in AZ · 012651T✔ Licensed in MA · 1023927✔ Licensed in MN · 71264
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 71264 (MN)
1625 N CAMPBELL AVE, Tucson, AZ 85719
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Phillips Carlisle Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628446242
PECOS Enrollment IDI20251106002210
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gregory Carlisle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Pediatric Associates, Inc
2,281 mi
Pediatrics
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,358 clinicians in this Medicare group
NPI 1457306664 (617) 355-6000
Chmc Anesthesia Foundation Inc
2,281 mi
Pediatric Anesthesiology
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 86 clinicians in this Medicare group
NPI 1831268754 (617) 919-1340

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATELYN DESALVO MD
Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 626-7944
DR. JESSICA WRIGHT
Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
ALEXANDRIA TAYSOM PA
Physician Assistant
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
DR. LESLIE CHRISTINE COWLES DNP, AGACNP
Nurse Practitioner (Acute Care)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
ERIN RIECK DO
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-8888
JESSICA HANNA NRP
Emergency Medical Technician, Paramedic
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (907) 598-3566
CHRISTOPHER J KARASCH DO
Anesthesiology
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 626-7141
DR. JOSHUA MICHAEL ROCKEY MD
Radiology (Diagnostic Radiology)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Carlisle's NPI number?

The NPI number for Gregory Carlisle is 1164082913. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Where is Gregory Carlisle located?

Gregory Carlisle practices at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 694-0111.

What is Gregory Carlisle's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Gregory Carlisle enrolled in Medicare?

Yes. Gregory Carlisle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gregory Carlisle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Carlisle reassigns Medicare benefits to 2 organizations: Children's Hospital Pediatric Associates, Inc (Boston, MA) and Chmc Anesthesia Foundation Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregory Carlisle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Carlisle accept?

Health plans from Taro Health list Gregory Carlisle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gregory Carlisle was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.