PINAL HISPANIC COUNCIL
NPI 1396588836
Clinic/Center - Multi-Specialty in Tucson, AZ
About Pinal Hispanic Council NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINAL HISPANIC COUNCIL (NPI 1396588836) is a healthcare organization registered as a multi-specialty in Tucson, Arizona and active in the NPI registry since June 2024. The organization lists Rose M Lopez, President And Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pinal Hispanic Council is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Pinal Hispanic Council, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 30Tucson, AZ 85711
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pinal Hispanic Council's NPI number?
The NPI number for Pinal Hispanic Council is 1396588836. It was assigned to this organization in the NPPES registry on June 13, 2024. The provider is also known as PHC Tucson IC.
Where is Pinal Hispanic Council located?
Pinal Hispanic Council is located at 1773 W Saint Marys Rd Ste 105, Tucson, AZ 85745. The listed phone number is (520) 622-8357.
What is Pinal Hispanic Council's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Pinal Hispanic Council enrolled in Medicare?
Yes. Pinal Hispanic Council is registered in the Medicare PECOS enrollment system.
When is Pinal Hispanic Council's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pinal Hispanic Council?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 6 Medicare specialties reassign their Medicare billing to Pinal Hispanic Council. 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. The largest specialties are Nurse Practitioner (21), Mental Health Counselor (5) and Clinical Social Worker (1). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pinal Hispanic Council accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Pinal Hispanic Council 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 Pinal Hispanic Council was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Pinal Hispanic Council · NPI 1396588836
Multi-Specialty organization in Tucson, Arizona. Organization record, active in the CMS NPPES registry since June 13, 2024.
## Identity
- **NPI:** 1396588836 (Entity type: Organization)
- **Enumerated:** June 13, 2024
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** PHC Tucson IC (Other Name)
- **Organization subpart:** No
- **Authorized official:** Rose Lopez, PRESIDENT AND CEO
## Practice location
- **Address:** 1773 W SAINT MARYS RD STE 105, Tucson, AZ 85745-2654
- **Phone:** (520) 622-8357 · **Fax:** (520) 622-1028
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 30 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Mental Health Counselor (5), Clinical Social Worker (1); 9 practice within 10 miles; [full list](https://npiprofile.com/npi/1396588836/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396588836) · Data from the CMS NPPES public registry.