Individual provider Active NPI

Sally J Vetter, MD

  • Anesthesiology Physician
  • Oro Valley, AZ
National Provider Identifier
1164457792
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
26216 Issued in AZ
Practice address
1551 E Tangerine Rd
Attn Medical Staff Services
Oro Valley, AZ 85755
Phone
(520) 901-3559
Fax
(520) 901-3642
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 26216 AZ Primary

Addresses

Primary practice location

1551 E Tangerine Rd
Attn Medical Staff Services
Oro Valley, AZ 85755

Mailing address

Oro Valley Anesthesia PLLC
Dept 9538
Los Angeles, CA 90084-9538
Phone (520) 529-0313

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
I20050120000123 AZ Practitioner - Anesthesiology 2062301856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Wisconsin, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ias Arizona PLLCGroup PAC ID 7517312648, 122 clinicians

Practice addresses (Care Compare)

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (469) 340-1366

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Nov 1, 2019 Accepting new patients
Ias Arizona PLLC Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Banner-University Medical Group Anesthesiology CurrentSince Nov 1, 2019 Accepting new patients
Old Pueblo Anesthesia Anesthesiology PastSince Aug 15, 2000 Accepting new patients

Locations

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

1501 N Campbell Ave
Tucson, AZ 85724
Phone (520) 626-7747

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1164457792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ORO VALLEY ANESTHESIA PLLC",
            "address_2": "DEPT 9538",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900849538",
            "telephone_number": "520-529-0313",
            "fax_number": "520-901-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E TANGERINE RD",
            "address_2": "ATTN MEDICAL STAFF SERVICES",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "85755",
            "telephone_number": "520-901-3559",
            "fax_number": "520-901-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTER",
        "first_name": "SALLY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "26216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.