Individual provider Active NPI

Thomas Buddensick, M.D.

  • Surgery Physician
  • Tempe, AZ
National Provider Identifier
1356659031
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
52652 Issued in AZ
Practice address
1855 E Southern Ave
Tempe, AZ 85282-5894
Phone
(480) 712-6000
NPI assigned
Sep 16, 2010
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 52652 AZ Primary

Addresses

Primary practice location

1855 E Southern Ave
Tempe, AZ 85282-5894

Mailing address

1855 E Southern Ave
Tempe, AZ 85282-5894
Phone (480) 712-6000

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
I20160914000578 AZ Practitioner - General PracticePractitioner - General SurgeryPractitioner - Other (Physician) 7012226764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
University of Maryland School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Bariatric and LaparoscopicGroup PAC ID 8224492996, 2 clinicians

Practice addresses (Care Compare)

1855 E Southern Ave
Tempe, AZ 85282-5894
Phone (480) 712-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52652AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Bariatric and Laparoscopic Surgery CurrentSince Nov 6, 2023 Accepting new patients
Arizona Surgical Institute LLC Surgery Past Accepting new patients

Locations

1855 E Southern Ave
Tempe, AZ 85282
Phone (480) 829-6100

1855 E Southern Ave
Ste 4
Tempe, AZ 85282
Phone (480) 689-5104

Organizations & group practices 3

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 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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1356659031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825894",
            "telephone_number": "480-712-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825894",
            "telephone_number": "480-712-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDENSICK",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "52652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.