Organization Active NPI

Arundhuti Kundu MD PLLC

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1386266377
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ARUNDHUTI KUNDU MD PLLC
Practice address
5151 E Broadway Blvd Ste 1600
Tucson, AZ 85711-3777
Phone
(520) 405-1005
NPI assigned
May 12, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Dr. Arundhuti KunduNPI 1124332838
Title
MD
Phone
(520) 405-1005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

5151 E Broadway Blvd Ste 1600
Tucson, AZ 85711-3777

Mailing address

5151 E Broadway Blvd
Tucson, AZ 85711-3705
Phone (520) 405-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200710002891 AZ Part B Supplier - Clinic/Group Practice 9638592553 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

3430 E Sunrise Dr
Ste 180
Tucson, AZ 85718
Phone (520) 348-0938

5151 E Broadway Blvd
Ste 1600
Tucson, AZ 85711
Phone (520) 314-1545

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1386266377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113705",
            "telephone_number": "520-405-1005",
            "fax_number": "520-512-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY BLVD STE 1600",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113777",
            "telephone_number": "520-405-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNDHUTI KUNDU MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "KUNDU",
        "authorized_official_first_name": "ARUNDHUTI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "520-405-1005",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.