Sparcc - Medicare in Tucson, AZ

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Sparcc is a medicare enrolled "Internal Medicine - Sports Medicine" provider in Tucson, Arizona. Their current practice location is 5199 E Farness Dr, Ste 101, Tucson, Arizona. You can reach out to their office (for appointments etc.) via phone at (520) 222-8076.

Sparcc is licensed to practice in Arizona (license number 49421) and it also participates in the medicare program. Sparcc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003275413.

Contact Information

Sparcc
5199 E Farness Dr, Ste 101,
Tucson, AZ 85712-5617
(520) 222-8076
(520) 300-7156

Map and Direction




Healthcare Provider's Profile

Full NameSparcc
TypeFacility
SpecialityInternal Medicine - Sports Medicine
Location5199 E Farness Dr, Tucson, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003275413
  • Provider Enumeration Date: 02/12/2016
  • Last Update Date: 10/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8820515539
  • Enrollment ID: O20250506003405

Medical Identifiers

Medical identifiers for Sparcc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003275413NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207RS0010XInternal Medicine - Sports Medicine 49421 (Arizona)Primary
2080S0010XPediatrics - Sports Medicine 49421 (Arizona)Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0200XNurse Practitioner - Pediatrics (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sparcc acts as a billing entity for following providers:
Provider NameKari S Hutton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356442560
PECOS PAC ID: 8022004506
Enrollment ID: I20040421000776
Provider NameAmy P Tees
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346229846
PECOS PAC ID: 0345228508
Enrollment ID: I20040713000818
Provider NameMohammed Raheeb Mortazavi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1871740241
PECOS PAC ID: 8820240203
Enrollment ID: I20140814001227
Provider NameLisa Sande
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396270625
PECOS PAC ID: 7012287691
Enrollment ID: I20170714002670
Provider NameAnthony Gross
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1942615182
PECOS PAC ID: 2567726565
Enrollment ID: I20190820002347
Provider NameJames Joseph Dill
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1093135725
PECOS PAC ID: 5698030641
Enrollment ID: I20191016001691
Provider NameRaquel Isabel Ortiz Cidone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154047629
PECOS PAC ID: 5395110555
Enrollment ID: I20230331002157
Provider NameLeila Samsam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376139121
PECOS PAC ID: 9436512100
Enrollment ID: I20250606002615
Provider NameBrett Cordyn Wood Dusenberry
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1104274430
PECOS PAC ID: 6406219401
Enrollment ID: I20250612002103
Provider NameLeslie Streeter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235528613
PECOS PAC ID: 4981067659
Enrollment ID: I20250701001155
Provider NameJaden Bailey
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1649746363
PECOS PAC ID: 9739697715
Enrollment ID: I20250801000595
Provider NameLeah Grace Gawin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912519042
PECOS PAC ID: 7810492311
Enrollment ID: I20250925002187

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sparcc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sparcc
5199 E Farness Dr Ste 101,
Tucson, AZ 85712-2262

Ph: (520) 548-4847		Sparcc
5199 E Farness Dr, Ste 101,
Tucson, AZ 85712-5617

Ph: (520) 222-8076

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.