Active NPI
Thiripurasundari Pugazhendhi, M.D.
- Glaucoma Specialist (Ophthalmology) Physician
- Tucson, AZ
National Provider Identifier
1285834812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- 46811
- Practice address
- 3600 S 6TH Avenue
Tucson, AZ 85723-5154 - Phone
- (520) 629-4606
- Fax
- (520) 838-3656
- NPI assigned
- Jul 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | 46811 | AZ | Primary |
Addresses
Primary practice location
3600 S 6TH Avenue
Tucson, AZ 85723-5154
Mailing address
5530 N Via Umbrosa
Tucson, AZ 85750-6462
Phone (520) 296-4690
Other practice location 1
1241 N Wilmot Rd
Tucson, AZ 85712-5154
Phone (520) 392-0585
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930958 | Medicaid | AZ | |
| Z 171853 | Other | AZ | MEDICARE |
Other names 1
- Thiripurasundari Pugazhendhi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46811 | AZ | MD | Glaucoma Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Netra Eye Clinic PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Tucson, AZ
- NPI 1023552247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1285834812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5530 N VIA UMBROSA",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857506462",
"telephone_number": "520-296-4690",
"fax_number": "520-300-4991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 S 6TH AVENUE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857235154",
"telephone_number": "520-629-4606",
"fax_number": "520-838-3656"
}
],
"practiceLocations": [
{
"address_1": "1241 N WILMOT RD",
"address_purpose": "LOCATION",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857125154",
"country_code": "US",
"telephone_number": "520-392-0585",
"fax_number": "520-300-4991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUGAZHENDHI",
"first_name": "THIRIPURASUNDARI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-22",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "AZ",
"license": "46811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "930958",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z 171853",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THIRIPURASUNDARI",
"last_name": "PUGAZHENDHI",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.