HOSSEIN ARDEHALI MD
NPI 1184750945
Internal Medicine - Cardiovascular Disease in Tucson, AZ

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
3838 N CAMPBELL AVE BLDG 2, TUCSON, AZ 85719(520) 694-3278 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hossein Ardehali Md NPPES

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

HOSSEIN ARDEHALI MD (NPI 1184750945) is an individual cardiovascular disease provider in Tucson, Arizona, licensed in Arizona (1184750945) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1998).

NPPES Registry Identity

NPI1184750945
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameHOSSEIN ARDEHALICredential: MD
Location Address3838 N CAMPBELL AVE BLDG 2Tucson, AZ 85719-1454
Mailing Address3838 N Campbell Ave Bldg 2Tucson, AZ 85719-1454 · (520) 694-3278 · Fax (520) 505-2476
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 1998
Enumeration DateFebruary 26, 2007
Last NPPES UpdateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
NPI 1184750945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in AZ · 1184750945
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3838 N CAMPBELL AVE BLDG 2, Tucson, AZ 85719

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hossein Ardehali Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668419789
PECOS Enrollment IDI20250416000435
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
74 services73 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services36 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
34 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Genetic Counselor, MS
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Audiologist-Hearing Aid Fitter
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Radiology (Radiation Oncology)
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Internal Medicine (Interventional Cardiology)
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Pharmacist
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Nurse Practitioner (Family)
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Audiologist-Hearing Aid Fitter
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719

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 Hossein Ardehali's NPI number?

The NPI number for Hossein Ardehali is 1184750945. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Hossein Ardehali located?

Hossein Ardehali practices at 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719. The listed phone number is (520) 694-3278.

What is Hossein Ardehali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Hossein Ardehali enrolled in Medicare?

Yes. Hossein Ardehali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hossein Ardehali accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Hossein Ardehali 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 Hossein Ardehali was last updated on December 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.