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PHILLIP JOHN DATTILO DO
NPI 1861545048
Internal Medicine in Tucson, AZ

Active since January 19, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 03D0875014 · Waiver
1404 EAST PRINCE ROAD, TUCSON CARDIOLOGY LTD, TUCSON, AZ 85719(520) 327-7494(520) 327-7493 Get Directions Write a Review

NPPES record last updated: August 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phillip John Dattilo Do NPPES

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

PHILLIP JOHN DATTILO DO (NPI 1861545048) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (241) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 16, 2027, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (1959).

NPPES Registry Identity

NPI1861545048
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHILLIP JOHN DATTILOCredential: DO
Location Address1404 EAST PRINCE ROAD, TUCSON CARDIOLOGY LTDTucson, AZ 85719
Mailing Address1404 East Prince Road, Tucson Cardiology LtdTucson, AZ 85719 · (520) 327-7494 · Fax (520) 327-7493
Phone(520) 327-7494
Fax(520) 327-7493
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 1959
Enumeration DateJanuary 19, 2007
Last NPPES UpdateAugust 17, 2011
✔ NPI 1861545048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 241
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 241 (AZ)
Also ListedNuclear MedicineTaxonomy 207U00000X · License 13 (AZ)
1404 EAST PRINCE ROAD, Tucson, AZ 85719
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Other Identifiers 2

Medicare UPINE4786
Medicaid228420AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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

Phillip John Dattilo Do 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 ID6800814070
PECOS Enrollment IDI20051107000028
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.

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 03D0875014

Phillip J Dattilo Do · Tucson, AZ
Active · expires Aug 16, 2027
CLIA Number03D0875014
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorPhillip J. Dattilo Do
Laboratory Phone(520) 327-7494
Laboratory LocationPhillip J Dattilo Do1404 East Prince Road, Tucson, AZ 85719
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85719 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
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

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

TUCSON CARDIOLOGY LTD
Nuclear Medicine
1404 EAST PRINCE ROAD, TUCSON CARDIOLOGY LTD
TUCSON, AZ 85719
Pima County (520) 327-7494

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 Phillip Dattilo's NPI number?

The NPI number for Phillip Dattilo is 1861545048. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Phillip Dattilo located?

Phillip Dattilo practices at 1404 East Prince Road Tucson Cardiology Ltd, Tucson, AZ 85719. The listed phone number is (520) 327-7494.

What is Phillip Dattilo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Phillip Dattilo enrolled in Medicare?

Yes. Phillip Dattilo 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.

Does Phillip Dattilo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0875014) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Phillip Dattilo accept?

Health plans from Blue Cross Blue Shield of Arizona list Phillip Dattilo 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 Phillip Dattilo was last updated on August 17, 2011. 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.