Active NPI
Marlene Bluestein, M.D.
- Internal Medicine Physician
- Tucson, AZ
National Provider Identifier
1053476051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13289
- Practice address
- 5300 E. Erickson
#116
Tucson, AZ 85712-2809 - Phone
- (520) 324-3940
- Fax
- (520) 324-3935
- NPI assigned
- Dec 27, 2006
- Last updated
- Oct 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13289 | AZ | Primary |
Addresses
Primary practice location
5300 E. Erickson
#116
Tucson, AZ 85712-2809
Mailing address
2325N Wyatt Dr 105
Tucson, AZ 85712-2121
Phone (520) 324-2297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13289 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Outreach, Inc | Past | Accepting new patients | |
| Tucson Medical Center | Past | Accepting new patients | |
| Genesis OB GYN PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1639344591
-
- Obstetrics & Gynecology Physician
- Tucson, AZ
- NPI 1992994214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1053476051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325N WYATT DR 105",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122121",
"telephone_number": "520-324-2297",
"fax_number": "520-324-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 E. ERICKSON",
"address_2": "#116",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122809",
"telephone_number": "520-324-3940",
"fax_number": "520-324-3935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUESTEIN",
"first_name": "MARLENE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "13289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.