CONNOR P MAMIKUNIAN
NPI 1922636331
Surgery - Trauma Surgery in Tucson, AZ

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 694-0111 Get Directions Write a Review

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

Record update history: Jul 29, 2026, Mar 31, 2020 (2 updates tracked since 2020).

About Connor P Mamikunian NPPES

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

CONNOR P MAMIKUNIAN (NPI 1922636331) is an individual trauma surgery provider in Tucson, Arizona, licensed in Arizona (81146) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2020).

NPPES Registry Identity

NPI1922636331
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameCONNOR P MAMIKUNIAN
Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330
Mailing Address1625 N Campbell AveTucson, AZ 85719-4330 · (907) 301-6192
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1922636331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in AZ · 81146
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
1625 N CAMPBELL AVE, Tucson, AZ 85719

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

Connor P Mamikunian 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 ID9133686371
PECOS Enrollment IDI20260807002149
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 Reassignment

Medicare enrollment records show Connor Mamikunian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nutrition, Education
535 N WILMOT RD STE 101
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 1,514 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Physician Assistant
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Nurse Practitioner (Acute Care)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medical Technician, Paramedic
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Anesthesiology
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Radiology (Diagnostic Radiology)
1625 N CAMPBELL AVE
TUCSON, AZ 85719

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 Connor Mamikunian's NPI number?

The NPI number for Connor Mamikunian is 1922636331. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Connor Mamikunian located?

Connor Mamikunian practices at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 694-0111.

What is Connor Mamikunian's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Connor Mamikunian enrolled in Medicare?

Yes. Connor Mamikunian 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 organization bills Medicare for Connor Mamikunian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connor Mamikunian reassigns Medicare benefits to Banner-University Medical Group (Tucson, AZ). The 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 Connor Mamikunian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Connor Mamikunian was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.