Individual provider Active NPI

Larry S Tamburro, MD

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1174504930
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23740 Issued in AZ
Practice address
1455 W Chandler Blvd
Chandler, AZ 85224-6197
Phone
(480) 899-2900
Fax
(480) 899-0681
NPI assigned
Nov 9, 2005
Last updated
Nov 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23740 AZ Primary

Addresses

Primary practice location

1455 W Chandler Blvd
Chandler, AZ 85224-6197

Mailing address

1455 W Chandler Blvd
Chandler, AZ 85224-6197
Phone (480) 899-2900

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
I20060308000666 AZ Practitioner - Family Practice 7315954849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Wellness ResourcesGroup PAC ID 6002296506, 37 clinicians

Practice addresses (Care Compare)

3501 N Scottsdale Rd
Suite 231
Scottsdale, AZ 85251-5649
Phone (855) 893-5637

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Wellness Resources Family Medicine CurrentSince Aug 3, 2024 Accepting new patients
East Valley Family Physicians PLC CurrentSince Jan 1, 1994 Accepting new patients

Locations

1455 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 899-2900

1455 W Chandler Blvd
Bldg A
Chandler, AZ 85224
Phone (480) 899-2900

1455 W Chandler Blvd
Ste 4
Chandler, AZ 85224
Phone (480) 899-2900

1455 W Chandler Blvd
Ste A4
Chandler, AZ 85224
Phone (480) 899-2900

3501 N Scottsdale Rd
Ste 231
Scottsdale, AZ 85251
Phone (480) 945-3873

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4
  • Direct secure messaging: larry.tamburro.1@27041.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1174504930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246197",
            "telephone_number": "480-899-2900",
            "fax_number": "480-899-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246197",
            "telephone_number": "480-899-2900",
            "fax_number": "480-899-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURRO",
        "first_name": "LARRY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "23740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.