1. Home
  2. Directory
  3. Arizona
  4. Tucson
  5. Nurse Practitioner
  6. NPI Profile

CONRAD L CORDOVA
NPI 1215382460
Nurse Practitioner - Family in Tucson, AZ

Active since April 25, 2016PECOS Enrolled
1925 W ORANGE GROVE RD STE 105, TUCSON, AZ 85704(520) 526-9699 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 19, 2022, Mar 19, 2020, May 14, 2016 (3 updates tracked since 2016).

About Conrad L Cordova NPPES

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

CONRAD L CORDOVA (NPI 1215382460) is an individual family provider in Tucson, Arizona, licensed in Arizona (AP8651) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1215382460
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCONRAD L CORDOVA
Location Address1925 W ORANGE GROVE RD STE 105Tucson, AZ 85704-1150
Mailing Address1925 W Orange Grove Rd Ste 105Tucson, AZ 85704-1150 · (520) 526-9699
Phone(520) 526-9699
Sole ProprietorNo
Enumeration DateApril 25, 2016
Last NPPES UpdateApril 19, 20223 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1215382460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP8651
1925 W ORANGE GROVE RD STE 105, Tucson, AZ 85704
Open in Google Maps ↗

Secondary Practice Location 1

Location 1225 W Ajo WayTucson, AZ 85713-6038 · Phone (520) 635-9103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conrad L Cordova is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Conrad Cordova reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pathways Medical Partners
4.3 mi
Family Medicine
1700 E RIVER RD, #65177
Tucson, AZ 85728
  • Reassigned Medicare billing, Arizona enrollment
  • 34 clinicians in this Medicare group
NPI 1144762238 (520) 635-9103
Aleracare Aic LLC
109 mi
Clinic/Center
20950 N TATUM BLVD STE 350
Phoenix, AZ 85050
  • Reassigned Medicare billing, Arizona enrollment
  • 42 clinicians in this Medicare group
NPI 1124735063 (888) 209-8874

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

Areas of Expertise CMS Part B claims 8

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.

Injection, mepolizumab, 1 mg J2182
Mepolizumab is a medication given via injection to help manage severe asthma and certain other conditions. It works by reducing the number of specific white blood cells that contribute to inflammation, thus aiding in symptom control.
24,400 services19 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
8,520 services87 patients
Injection, benralizumab, 1 mg J0517
Benralizumab is a medication given via injection to help manage severe asthma. It works by reducing the number of eosinophils, a type of white blood cell that can contribute to asthma symptoms.
2,430 services15 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
643 services143 patients
Injection, zoledronic acid, 1 mg J3489
Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.
75 services15 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
64 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85704 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

MOSAIC INFUSION SOLUTIONS LLC
Clinic/Center (Infusion Therapy)
1925 W ORANGE GROVE RD STE 105
TUCSON, AZ 85704
Pima County (520) 526-9699
CARLA MUNDT
Nurse Practitioner (Family)
1925 W ORANGE GROVE RD STE 105
TUCSON, AZ 85704
Pima County (520) 526-9699
SUSAN HILSABECK FNP-C
Nurse Practitioner (Family)
1925 W ORANGE GROVE RD STE 105
TUCSON, AZ 85704
Pima County (520) 330-3429

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 Conrad Cordova's NPI number?

The NPI number for Conrad Cordova is 1215382460. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Conrad Cordova located?

Conrad Cordova practices at 1925 W Orange Grove Rd Ste 105, Tucson, AZ 85704. The listed phone number is (520) 526-9699.

What is Conrad Cordova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Conrad Cordova enrolled in Medicare?

Yes. Conrad Cordova is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Conrad Cordova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Conrad Cordova reassigns Medicare benefits to 2 organizations: Pathways Medical Partners (Tucson, AZ) and Aleracare Aic LLC (Phoenix, AZ). 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 Conrad Cordova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Conrad Cordova was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.