Individual provider Active NPI

Cheryl R. Buyama, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1164491510
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30035 Issued in AZ
Practice address
1300 N 12TH St
Suite 508
Phoenix, AZ 85006-2848
Phone
(602) 839-3927
Fax
(602) 839-4233
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30035 AZ Primary

Addresses

Primary practice location

1300 N 12TH St
Suite 508
Phoenix, AZ 85006-2848

Mailing address

1441 N 12TH St
Phoenix, AZ 85006-2837
Phone (602) 495-4577

Other identifiers 1

IdentifierTypeStateIssuer
694671MedicaidAZ

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
I20040515000523 AZ Practitioner - Internal Medicine 2062402506 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30035AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Feb 15, 2023 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Feb 15, 2023 Accepting new patients
Banner -- University Primary Care Physicians LLC CurrentSince Jan 1, 2016 Accepting new patients
Lankford Holdings Monogram, Inc Past Accepting new patients

Locations

925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-4498

925 E McDowell Rd
Fl 3
Phoenix, AZ 85006
Phone (602) 839-5895

1300 N 12th St
Ste 500
Phoenix, AZ 85006
Phone (602) 839-2606

4200 E Camelback Rd
Ste 202
Phoenix, AZ 85018
Phone (602) 229-2150

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1441 N 12th St
Phoenix, AZ 85006
Phone (602) 495-4577

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1164491510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837",
            "telephone_number": "602-495-4577",
            "fax_number": "602-417-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "SUITE 508",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-839-3927",
            "fax_number": "602-839-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUYAMA",
        "first_name": "CHERYL",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "30035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694671",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.