OLD PUEBLO CARDIOLOGY PC
NPI 1568643229
Internal Medicine - Cardiovascular Disease in Tucson, AZ
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
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Old Pueblo Cardiology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Old Pueblo Cardiology PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 of Waiver 03D1061632
Old Pueblo Cardiology · Tucson, AZFrequently 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.
Is Old Pueblo Cardiology PC enrolled in Medicare?
Yes. Old Pueblo Cardiology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Old Pueblo Cardiology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Old Pueblo Cardiology PC. 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 (5) and Cardiovascular Disease (Cardiology) (4). Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health and 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.
# Old Pueblo Cardiology Pc · NPI 1568643229
Cardiovascular Disease organization in Tucson, Arizona. Organization record, active in the CMS NPPES registry since November 21, 2007.
## Identity
- **NPI:** 1568643229 (Entity type: Organization)
- **Enumerated:** November 21, 2007
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Lee Goldberg, MEDICAL DIRECTOR
## Practice location
- **Address:** 3955 E FORT LOWELL RD, SUITE 113, Tucson, AZ 85712-1041
- **Phone:** (520) 323-7277 · **Fax:** (520) 881-1968
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Cardiovascular Disease (Cardiology) (4); 3 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2012
- **Other identifiers:** Other Z119329 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1568643229) · Data from the CMS NPPES public registry.