Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Andrew Lara

Individual provider Surgery Physician · NPI 1083008940

Kelly Andrew Lara is a General Surgery in Tucson, Arizona. Graduated from Indiana University School of Medicine in 2015, 11 years ago. Practices with Northwest Allied Physicians LLC, a 125-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
11
Trained at
Indiana University School of Medicine
Licensed in
AZ, CA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

2300 S Houghton Rd Ste 160
Tucson, AZ 85748-0046
Phone: (520) 352-1083
Fax: (520) 352-1088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 64112 (AZ)
Surgery Physician Taxonomy 208600000X · Licence A148544 (CA)

Record details

NPI number1083008940
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2015
Last updated in NPPESAugust 23, 2025
Certification dateAugust 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Northwest Allied Physicians Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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