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OLD PUEBLO CARDIOLOGY PC
NPI 1568643229
Internal Medicine - Cardiovascular Disease in Tucson, AZ

Active since November 21, 2007CLIA 03D1061632 · Waiver
3955 E FORT LOWELL RD, SUITE 113, TUCSON, AZ 85712(520) 323-7277(520) 881-1968 Get Directions Write a Review

NPPES record last updated: January 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Old Pueblo Cardiology Pc NPPES

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

OLD PUEBLO CARDIOLOGY PC (NPI 1568643229) is a healthcare organization registered as a cardiovascular disease in Tucson, Arizona and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through November 21, 2026 and lists Lee Goldberg, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1568643229
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameOLD PUEBLO CARDIOLOGY PC
Location Address3955 E FORT LOWELL RD, SUITE 113Tucson, AZ 85712-1041
Mailing AddressPo Box 64086Tucson, AZ 85728-4086 · (520) 323-7277 · Fax (520) 881-1968
Phone(520) 323-7277
Fax(520) 881-1968
Organization SubpartNo
Authorized OfficialLee GoldbergMedical Director · (520) 323-7277
Enumeration DateNovember 21, 2007
Last NPPES UpdateJanuary 20, 2012
✔ NPI 1568643229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
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.
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
3955 E FORT LOWELL RD, Tucson, AZ 85712
Open in Google Maps ↗

Other Identifiers 1

OtherZ119329AZ · Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 of Waiver 03D1061632

Old Pueblo Cardiology · Tucson, AZ
Active · expires Nov 21, 2026
CLIA Number03D1061632
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2024
Certificate Expiration DateNovember 21, 2026
Laboratory DirectorLee R. Goldberg
Laboratory Phone(520) 323-7277
Laboratory LocationOld Pueblo Cardiology3955 E Ft Lowell Rd Ste 113, Tucson, AZ 85712
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. JOSEPH CHARLES DEBOE DNP, ACNPC-AG, CCRN
Nurse Practitioner
3955 E FORT LOWELL RD, STE 113
TUCSON, AZ 85712
Pima County (520) 323-7277
JENNIFER LYNN WARD DNP
Nurse Practitioner (Acute Care)
3955 E FORT LOWELL RD
TUCSON, AZ 85712
Pima County (520) 323-7277
LEE RANDALL GOLDBERG M.D.
Internal Medicine (Interventional Cardiology)
3955 E FORT LOWELL RD, SUITE 113
TUCSON, AZ 85712
Pima County (520) 323-7277

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 Old Pueblo Cardiology PC's NPI number?

The NPI number for Old Pueblo Cardiology PC is 1568643229. It was assigned to this organization in the NPPES registry on November 21, 2007.

Where is Old Pueblo Cardiology PC located?

Old Pueblo Cardiology PC is located at 3955 E Fort Lowell Rd Suite 113, Tucson, AZ 85712. The listed phone number is (520) 323-7277.

What is Old Pueblo Cardiology PC's specialty?

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

Does Old Pueblo Cardiology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1061632) is associated with this NPI, valid through November 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Old Pueblo Cardiology PC accept?

Health plans from Ambetter from Arizona Complete Health list Old Pueblo Cardiology PC 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 Old Pueblo Cardiology PC was last updated on January 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.