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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: July 26, 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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 17

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
OMAR ASAAD
Student in an Organized Health Care Education/Training Program
6060 N FOUNTAIN PLAZA DR STE 270
TUCSON, AZ 85704
Pima County (520) 327-7463
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

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.

When was this NPI record last updated?

The NPPES record for Prido Polanco was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.