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CORONADO INTERNAL MEDICINE PC
NPI 1932293032
Internal Medicine in Tucson, AZ

Active since October 03, 2006CLIA 03D1062964 · Waiver
6365 E TANQUE VERDE RD, SUITE 210, TUCSON, AZ 85715(520) 885-2072(520) 721-9464 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Coronado Internal Medicine Pc NPPES

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

CORONADO INTERNAL MEDICINE PC (NPI 1932293032) is a healthcare organization registered as an internal medicine in Tucson, Arizona and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 1, 2027 and lists Jeffrey S Mayer, President, as its authorized official.

NPPES Registry Identity

NPI1932293032
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCORONADO INTERNAL MEDICINE PC
Location Address6365 E TANQUE VERDE RD, SUITE 210Tucson, AZ 85715-3830
Mailing AddressPo Box 43100Tucson, AZ 85733-3100 · (520) 722-3777 · Fax (520) 296-6224
Phone(520) 885-2072
Fax(520) 721-9464
Organization SubpartNo
Authorized OfficialJeffrey S MayerPresident · (520) 885-2072
Enumeration DateOctober 3, 2006
Last NPPES UpdateMay 1, 2013
✔ NPI 1932293032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 23701
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.
6365 E TANQUE VERDE RD, Tucson, AZ 85715
Open in Google Maps ↗

Other Identifiers 1

Medicare PINZ1182848AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coronado Internal Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Coronado Internal Medicine PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jeffrey Mayer, MD
Internal Medicine
NPI 1538253620
6365 E TANQUE VERDE RD STE. 210
Tucson, AZ 85715
(520) 885-2072
✔ PECOS✔ Accepts MedicareSame address
Betty Blangsted, NP-C
Nurse Practitioner
NPI 1932613957
6268 E GRANT RD
Tucson, AZ 85712
(520) 885-2072
✔ PECOS0.3 mi
Alicia Gonzalez, FNP
Nurse Practitioner
NPI 1902614068
2060 W 24TH ST
Yuma, AZ 85364
(928) 819-8999
✔ PECOS✔ Accepts Medicare223 mi

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 03D1062964

Coronado Internal Medicine Jeffrey S Mayer, MD · Tucson, AZ
Active · expires Jan 1, 2027
CLIA Number03D1062964
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2025
Certificate Expiration DateJanuary 1, 2027
Laboratory DirectorJeffrey S. Mayer, MD
Laboratory Phone(520) 885-2072
Laboratory LocationCoronado Internal Medicine Jeffrey S Mayer, MD6365 E Tanque Verde Rd, Ste 210, Tucson, AZ 85715
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Coronado Internal Medicine PC's NPI number?

The NPI number for Coronado Internal Medicine PC is 1932293032. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Coronado Internal Medicine PC located?

Coronado Internal Medicine PC is located at 6365 E Tanque Verde Rd Suite 210, Tucson, AZ 85715. The listed phone number is (520) 885-2072.

What is Coronado Internal Medicine PC's specialty?

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

Is Coronado Internal Medicine PC enrolled in Medicare?

Yes. Coronado Internal Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coronado Internal Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Coronado Internal Medicine PC, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coronado Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1062964) is associated with this NPI, valid through January 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coronado Internal Medicine PC was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.