Individual provider Active NPI

Amy E Bohan, MD

  • Pulmonary Disease Physician
  • Gilbert, AZ
National Provider Identifier
1477554285
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
24483 Issued in AZ
Practice address
3303 E Baseline Rd
#208
Gilbert, AZ 85234-2738
Phone
(480) 962-1650
Fax
(480) 962-1883
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 24483 AZ Primary

Addresses

Primary practice location

3303 E Baseline Rd
#208
Gilbert, AZ 85234-2738

Mailing address

3303 E Baseline Rd
#208
Gilbert, AZ 85234-2738
Phone (480) 962-1650

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
I20100908000728 AZ Practitioner - Pulmonary Disease 8527963701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Arizona College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Pulmonary and Sleep Consultants PLCGroup PAC ID 6002711272, 6 clinicians

Practice addresses (Care Compare)

3303 E Baseline Rd
Suite 208
Gilbert, AZ 85234-2728
Phone (480) 962-1650

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105

Merit-based Incentive Payment System (MIPS)

Final score
75.4 of 100Reported as group
Quality
59.91
Improvement activities
40
Cost
71.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Pulmonary & Sleep Consultants PLC Pulmonary Disease CurrentSince Jul 24, 2000 Accepting new patients
Craig M. Rundbaken, D.O. PLLC Pulmonary Disease Past Accepting new patients

Locations

3303 E Baseline Rd
Ste 208
Gilbert, AZ 85234
Phone (480) 962-1650

2730 S Val Vista Dr
Ste 155
Gilbert, AZ 85295
Phone (480) 917-1996

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

Interoperability endpoints

  • Direct secure messaging: abohan@dpsc.ssdirect.aprima.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1477554285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD",
            "address_2": "#208",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342738",
            "telephone_number": "480-962-1650",
            "fax_number": "480-962-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD",
            "address_2": "#208",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342738",
            "telephone_number": "480-962-1650",
            "fax_number": "480-962-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHAN",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "24483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.