AGAVE FAMILY MEDICINE & BREAST FEEDING SUPPORT CENTER LLC
NPI 1265165484
Family Medicine in Tucson, AZ

Q: What is Agave Family Medicine & Breast Feeding Support Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 06, 2022CLIA 03D2222292 · Microscopy

1925 W ORANGE GROVE RD STE 201, TUCSON, AZ 85704(520) 372-2167 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2022, Jul 6, 2022 (2 updates tracked since 2022).

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About Agave Family Medicine & Breast Feeding Support Center Llc NPPES

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

AGAVE FAMILY MEDICINE & BREAST FEEDING SUPPORT CENTER LLC (NPI 1265165484) is a healthcare organization registered as a family medicine in Tucson, Arizona and active in the NPI registry since July 2022. The organization holds a CLIA Microscopy certificate valid through April 27, 2027 and lists Mary C Harrel, Director, as its authorized official.

NPPES Registry Identity

NPI1265165484

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameAGAVE FAMILY MEDICINE & BREAST FEEDING SUPPORT CENTER LLC

Location Address1925 W ORANGE GROVE RD STE 201Tucson, AZ 85704-1151

Mailing Address1925 W Orange Grove Rd Ste 201Tucson, AZ 85704-1151 · (520) 372-2167

Phone(520) 372-2167

Organization SubpartNo

Authorized OfficialMary C HarrelDirector · (602) 999-4659

Enumeration DateJuly 6, 2022

Last NPPES UpdateSeptember 30, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2022

✔ NPI 1265165484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1925 W ORANGE GROVE RD STE 201, Tucson, AZ 85704

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agave Family Medicine & Breast Feeding Support Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Agave Family Medicine & Breast Feeding Support Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mary Harrel, MD

Family Practice

NPI 1487882049

1925 W ORANGE GROVE RD STE 201
Tucson, AZ 85704

(520) 372-2167

✔ PECOS✔ Accepts MedicareSame address

Sameer Suhale, MD

Family Practice

NPI 1770103137

1925 W ORANGE GROVE RD STE 201
Tucson, AZ 85704

(520) 372-2167

✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D2222292

Agave Family Medicine · Tucson, AZ

Active · expires Apr 27, 2027

CLIA Number03D2222292

Laboratory TypePhysician Office

Certificate Effective DateApril 28, 2025

Certificate Expiration DateApril 27, 2027

Laboratory DirectorMary Harrel

Laboratory Phone(520) 347-8035

Laboratory LocationAgave Family Medicine1925 W Orange Grove Rd Ste 201, Tucson, AZ 85704

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Agave Family Medicine & Breast Feeding Support Center LLC's NPI number?

The NPI number for Agave Family Medicine & Breast Feeding Support Center LLC is 1265165484. It was assigned to this organization in the NPPES registry on July 6, 2022.

Where is Agave Family Medicine & Breast Feeding Support Center LLC located?

Agave Family Medicine & Breast Feeding Support Center LLC is located at 1925 W Orange Grove Rd Ste 201, Tucson, AZ 85704. The listed phone number is (520) 372-2167.

What is Agave Family Medicine & Breast Feeding Support Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Agave Family Medicine & Breast Feeding Support Center LLC enrolled in Medicare?

Yes. Agave Family Medicine & Breast Feeding Support Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agave Family Medicine & Breast Feeding Support Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Agave Family Medicine & Breast Feeding Support Center LLC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Agave Family Medicine & Breast Feeding Support Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D2222292) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Agave Family Medicine & Breast Feeding Support Center LLC was last updated on September 30, 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.