1. Home
  2. Directory
  3. Arizona
  4. Tucson
  5. Family Medicine
  6. NPI Profile

DR. PRIDO JOSE POLANCO JR. MD
NPI 1841930237
Family Medicine in Tucson, AZ

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
6060 N FOUNTAIN PLAZA DR STE 270, TUCSON, AZ 85704(520) 229-2578(520) 229-2561 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Prido Jose Polanco Jr. Md NPPES

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

DR. PRIDO JOSE POLANCO JR. MD (NPI 1841930237) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (74291) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1841930237
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PRIDO JOSE POLANCO JR.Credential: MD
Location Address6060 N FOUNTAIN PLAZA DR STE 270Tucson, AZ 85704-7873
Mailing Address6060 N Fountain Plaza Dr Ste 270Tucson, AZ 85704-7873 · (520) 229-2578
Phone(520) 229-2578
Fax(520) 229-2561
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 1, 2022
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1841930237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 74291
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6060 N FOUNTAIN PLAZA DR STE 270, Tucson, AZ 85704
Open in Google Maps ↗

Secondary Practice Location 1

Location 16431 Fannin St Ste Jjl 3082Houston, TX 77030-1501 · Phone (713) 500-7610

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Prido Jose Polanco Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436651973
PECOS Enrollment IDI20250904004426
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 Prido Polanco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Allied Physicians LLC
Same address
General Practice
6060 N FOUNTAIN PLAZA DR STE 270
Tucson, AZ 85704
  • Reassigned Medicare billing, Arizona enrollment
  • 296 clinicians in this Medicare group
NPI 1003833179 (520) 229-2578
Northwest Urgent Care LLC
2.0 mi
Urgent Care
3870 W RIVER RD STE 126
Tucson, AZ 85741
  • Reassigned Medicare billing, Arizona enrollment
  • 65 clinicians in this Medicare group
NPI 1528683455 (520) 219-6616

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

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 16

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

NORTHWEST ALLIED PHYSICIANS LLC
General Practice
6060 N FOUNTAIN PLAZA DR STE 270
TUCSON, AZ 85704
Pima County (520) 229-2578
DR. MYRIAM RODRIGUEZ-PADILLA MD
Family Medicine
6060 N FOUNTAIN PLAZA DR STE 270
TUCSON, AZ 85704
Pima County (520) 229-2578
ASHLEY MUSE
Nurse Practitioner (Family)
6060 N FOUNTAIN PLAZA DR STE 270
TUCSON, AZ 85704
Pima County (520) 229-2578
MS. AMY M STROCSHER NP
Nurse Practitioner
6060 N FOUNTAIN PLAZA DR STE 270
TUCSON, AZ 85704
Pima County (520) 229-2578
DR. SARAH ELIZABETH SULLIVAN D.O.
Psychiatry & Neurology (Neurology)
6060 N FOUNTAIN PLAZA DR STE 270
TUCSON, AZ 85704
Pima County (520) 797-6894
JASON PATEL M.D.
Family Medicine
6060 N FOUNTAIN PLAZA DR STE 270
TUCSON, AZ 85704
Pima County (520) 229-2578
STEPHANIE MEYERS NP
Nurse Practitioner
6060 N FOUNTAIN PLAZA DR STE 270
TUCSON, AZ 85704
Pima County (520) 229-2578
ASPEN I RALPH DO
Internal Medicine
6060 N FOUNTAIN PLAZA DR STE 270
TUCSON, AZ 85704
Pima County (520) 229-2578

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 Prido Polanco's NPI number?

The NPI number for Prido Polanco is 1841930237. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Prido Polanco located?

Prido Polanco practices at 6060 N Fountain Plaza Dr Ste 270, Tucson, AZ 85704. The listed phone number is (520) 229-2578.

What is Prido Polanco's specialty?

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

Is Prido Polanco enrolled in Medicare?

Yes. Prido Polanco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Prido Polanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prido Polanco reassigns Medicare benefits to 2 organizations: Northwest Allied Physicians LLC (Tucson, AZ) and Northwest Urgent Care LLC (Tucson, 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 Prido Polanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prido Polanco accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Prido Polanco 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 Prido Polanco was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.