DR. PHILIP VASIN BYSTROM MD
NPI 1205397668
Surgery - Plastic and Reconstructive Surgery in Tucson, AZ
About Dr. Philip Vasin Bystrom Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILIP VASIN BYSTROM MD (NPI 1205397668) is an individual plastic and reconstructive surgery provider in Tucson, Arizona, licensed in Arizona (R82692) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Philip Vasin Bystrom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Philip Bystrom's NPI number?
The NPI number for Philip Bystrom is 1205397668. It was assigned to this individual provider in the NPPES registry on March 28, 2019.
Where is Philip Bystrom located?
Philip Bystrom practices at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 694-0111.
What is Philip Bystrom's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Philip Bystrom enrolled in Medicare?
Yes. Philip Bystrom is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Philip Bystrom was last updated on August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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.
# Dr. Philip Vasin Bystrom, MD · NPI 1205397668
Plastic and Reconstructive Surgery physician in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since March 28, 2019.
## Identity
- **NPI:** 1205397668 (Entity type: Individual)
- **Enumerated:** March 28, 2019
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** R82692 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1625 N CAMPBELL AVE, Tucson, AZ 85719-4330
- **Phone:** (520) 694-0111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205397668) · Data from the CMS NPPES public registry.