Individual provider Active NPI

Christine Ameduri, MD

  • Family Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1063965358
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26996 Issued in AZ
Practice address
1110 E Route 66 Ste 100
Flagstaff, AZ 86001-4772
Phone
(928) 773-9695
Fax
(928) 773-0208
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901000447 AZ Practitioner - Family Practice 2567437676 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Arizona PA CurrentSince Aug 1, 2016 Accepting new patients
Flagstaff Family Physicians PC Family Medicine PastSince Jun 22, 1999 Accepting new patients
Voytek Inc Past Accepting new patients

Locations

1110 E Route 66
Ste 100
Flagstaff, AZ 86001
Phone (928) 527-1920

15812 Midway Rd
Addison, TX 75001
Phone (972) 341-9265

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26996 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

1110 E Route 66 Ste 100
Flagstaff, AZ 86001-4772

Mailing address

1110 E Route 66 Ste 100
Flagstaff, AZ 86001-4772
Phone (928) 773-9695

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2016.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1063965358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E ROUTE 66 STE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014772",
            "telephone_number": "928-773-9695",
            "fax_number": "928-773-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E ROUTE 66 STE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014772",
            "telephone_number": "928-773-9695",
            "fax_number": "928-773-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEDURI",
        "first_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "26996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.