Active NPI
Bonali Barua Kautz
- Specialist
- Tucson, AZ
National Provider Identifier
1083043475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2783
- Practice address
- 7070 N Oracle Rd
Tucson, AZ 85704-4337 - Phone
- (520) 544-2300
- NPI assigned
- Nov 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2783 | AZ | Primary |
Addresses
Primary practice location
7070 N Oracle Rd
Tucson, AZ 85704-4337
Mailing address
2151 E Bedrock LN
Oro Valley, AZ 85755-1919
Phone (520) 271-6121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2783 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1083043475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 E BEDROCK LN",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857551919",
"telephone_number": "520-271-6121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7070 N ORACLE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857044337",
"telephone_number": "520-544-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARUA KAUTZ",
"first_name": "BONALI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-06",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "2783",
"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 Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.