Organization Active NPI

Desert Sage Internal Medicine, LTD

  • Internal Medicine Physician
  • Oro Valley, AZ
National Provider Identifier
1497713796
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DESERT SAGE INTERNAL MEDICINE, LTD
Practice address
1834 E Innovation Park Dr
Oro Valley, AZ 85755-1963
Phone
(520) 825-9656
Fax
(520) 818-2525
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Dr. Pamela Anne Dowell, MDNPI 1326059239
Title
President
Phone
(520) 825-9656

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1834 E Innovation Park Dr
Oro Valley, AZ 85755-1963

Mailing address

1834 E Innovation Park Dr
Oro Valley, AZ 85755-1963
Phone (520) 825-9656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001684 AZ Part B Supplier - Clinic/Group Practice 2365334661 Receives reassigned benefits from 2 practitioners
Practice locations: Oro Valley, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0982413Desert Sage Internal Medicine LTD1834 E Innovation Park Dr, Oro Valley, AZ 85755Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1834 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 825-9656

13101 N Oracle Rd
Ste 181
Tucson, AZ 85739
Phone (520) 825-9656

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1497713796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 E INNOVATION PARK DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963",
            "telephone_number": "520-825-9656",
            "fax_number": "520-818-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 E INNOVATION PARK DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963",
            "telephone_number": "520-825-9656",
            "fax_number": "520-818-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SAGE INTERNAL MEDICINE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "DOWELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-825-9656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.