Individual provider Active NPI

Amanda S Bacchus-Morris, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1164714325
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44203 Issued in AZ
Practice address
6130 N la Cholla Blvd Ste 117
Tucson, AZ 85741
Phone
(520) 207-7434
Fax
(520) 269-6897
NPI assigned
May 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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 44203 AZ Primary

Addresses

Primary practice location

6130 N la Cholla Blvd Ste 117
Tucson, AZ 85741

Mailing address

5055 E Broadway Blvd Ste A100
Tucson, AZ 85711-3629
Phone (520) 327-0460

Other practice location 1

13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111

Other identifiers 1

IdentifierTypeStateIssuer
626390MedicaidAZ

Other names 1

  • Amanda S Bacchus Former name

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
I20110906000715 AZ Practitioner - Internal MedicinePractitioner - Gastroenterology 9335319052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg Medical Tucson LLCGroup PAC ID 1153734587, 2 clinicians

Practice addresses (Care Compare)

6060 N Fountain Plaza Dr
Suite 170
Tucson, AZ 85704-7875
Phone (520) 207-7434

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037130
  • Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amg Medical Tucson LLC Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Arizona Community Physicians PC Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
Arizona Community Physician PC CurrentSince Apr 1, 2016 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

6130 N La Cholla Blvd
Ste 117
Tucson, AZ 85741
Phone (520) 207-7434

899 N Wilmot Rd
Ste B
Tucson, AZ 85711
Phone (520) 290-1100

6060 N Fountain Plaza Dr
Ste 170
Tucson, AZ 85704
Phone (520) 207-7434

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22552/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amanda.bacchus-morris.3@22552.direct.athenahealth.com

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 2

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": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1164714325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD STE A100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113629",
            "telephone_number": "520-327-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 N LA CHOLLA BLVD STE 117",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85741",
            "telephone_number": "520-207-7434",
            "fax_number": "520-269-6897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13395 N Marana Main St",
            "address_purpose": "LOCATION",
            "city": "Marana",
            "state": "AZ",
            "postal_code": "856537008",
            "country_code": "US",
            "telephone_number": "520-682-4111",
            "fax_number": "520-682-3817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACCHUS-MORRIS",
        "first_name": "AMANDA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "44203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626390",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BACCHUS",
            "middle_name": "S",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.