Individual provider Active NPI

Surekha Bandlamuri, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1487672564
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31764 Issued in AZ
Practice address
1601 N Tucson Blvd Ste 18
Tucson, AZ 85716-3406
Phone
(520) 622-7675
Fax
(877) 870-9161
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31764 AZ Primary

Addresses

Primary practice location

1601 N Tucson Blvd Ste 18
Tucson, AZ 85716-3406

Mailing address

PO Box 43160
Tucson, AZ 85733-3160
Phone (520) 622-7675

Other practice location 1

395 N. Silverbell Rd
Suite 245
Tucson, AZ 85745
Phone (520) 622-7675

Other identifiers 1

IdentifierTypeStateIssuer
221248MedicaidAZ

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
I20040823000705 AZ Practitioner - Internal Medicine 8426022773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 N Tucson Blvd
Suite 18
Tucson, AZ 85716-3406
Phone (520) 622-7675

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31764AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Horizon Medical Center, PC Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Hospitalists of Arizona, Inc Internal Medicine Past Accepting new patients

Locations

1601 N Tucson Blvd
Ste 18
Tucson, AZ 85716
Phone (520) 622-7675

395 N Silverbell Rd
Ste 245
Tucson, AZ 85745
Phone (520) 622-7675

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIAABA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIAABA/Endpoint/IIAABA

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, 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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1487672564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333160",
            "telephone_number": "520-622-7675",
            "fax_number": "877-870-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 18",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163406",
            "telephone_number": "520-622-7675",
            "fax_number": "877-870-9161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 N. Silverbell Rd",
            "address_2": "Suite 245",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85745",
            "country_code": "US",
            "telephone_number": "520-622-7675",
            "fax_number": "520-628-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANDLAMURI",
        "first_name": "SUREKHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "31764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221248",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.