Individual provider Active NPI

Arundhuti Kundu, MD

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1124332838
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
47930 Issued in AZ
Practice address
5151 E Broadway Blvd
Tucson, AZ 85711-3705
Phone
(520) 405-1005
Fax
(520) 512-5401
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R71922 AZ
Psychiatry Physician 2084P0800X 47930 AZ Primary

Addresses

Primary practice location

5151 E Broadway Blvd
Tucson, AZ 85711-3705

Mailing address

5151 E Broadway Blvd
Tucson, AZ 85711-3705
Phone (520) 405-1005

Other identifiers 1

IdentifierTypeStateIssuer
960708MedicaidAZ

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
I20150109001903 AZ Practitioner - Psychiatry 4385968817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3430 E Sunrise Dr
Suite 180
Tucson, AZ 85718-3236
Phone (520) 405-1005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47930AZMDPsychiatry Physician
R71922AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arundhuti Kundu MD PLLC Psychiatry CurrentSince Apr 1, 2020 Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients

Locations

5151 E Broadway Blvd
Ste 1600
Tucson, AZ 85711
Phone (520) 314-1545

3430 E Sunrise Dr
Ste 180
Tucson, AZ 85718
Phone (520) 348-0938

5151 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 405-1005

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1124332838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113705",
            "telephone_number": "520-405-1005",
            "fax_number": "520-512-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113705",
            "telephone_number": "520-405-1005",
            "fax_number": "520-512-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDU",
        "first_name": "ARUNDHUTI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "R71922",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "47930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "960708",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.