Individual provider Active NPI

Budi R. Bahureksa, DO

  • Interventional Cardiology Physician
  • Tucson, AZ
National Provider Identifier
1316942170
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
3901 Issued in AZ
Practice address
7620 N la Cholla Blvd
Tucson, AZ 85741-4201
Phone
(520) 531-0900
Fax
(520) 618-5611
NPI assigned
Jun 17, 2005
Last updated
Sep 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 3901 AZ Primary

Addresses

Primary practice location

7620 N la Cholla Blvd
Tucson, AZ 85741-4201

Mailing address

PO Box 43130
Tucson, AZ 85733-3130
Phone (520) 722-3777

Other identifiers 1

IdentifierTypeStateIssuer
778277MedicaidAZ

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
I20031211000440 AZ Practitioner - Cardiovascular Disease (Cardiology) 7911803788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7620 N la Cholla Blvd
Tucson, AZ 85741-4201
Phone (520) 531-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3901AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Heart & Vascular Institute Interventional Cardiology CurrentSince Jan 1, 2004 Accepting new patients
Oro Valley Vein Center LLC Cardiovascular Disease CurrentSince Jun 1, 2007 Accepting new patients
Tucson Medical Center Past Accepting new patients
Cardiology Physicians, LLC Cardiovascular Disease Past Accepting new patients

Locations

10425 N Oracle Rd
Ste 115
Oro Valley, AZ 85737
Phone (520) 531-0900

7620 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 531-0900

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

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1316942170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333130",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857414201",
            "telephone_number": "520-531-0900",
            "fax_number": "520-618-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHUREKSA",
        "first_name": "BUDI",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "3901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "778277",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.