Organization Active NPI

West Horizon Medical Center, PC

  • General Practice Physician
  • Tucson, AZ
National Provider Identifier
1497805360
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11203 Issued in AZ
Legal business name
WEST HORIZON MEDICAL CENTER, PC
Practice address
1601 N Tucson Blvd Ste 18
Tucson, AZ 85716-3406
Phone
(520) 622-7675
Fax
(877) 870-9161
NPI assigned
Jan 11, 2007
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
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

Authorized official

Name
Surekha Bandlamuri, MDNPI 1487672564
Title
Owner
Phone
(520) 622-7675

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31764 AZ
General Practice Physician 208D00000X 11203 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) 722-3777

Other practice location 1

395 N Silverbell Rd Ste 245
Tucson, AZ 85745-2704
Phone (520) 622-7675 ext. 13523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127000991 AZ Part B Supplier - Clinic/Group Practice 9638072887 Receives reassigned benefits from 2 practitioners
Practice locations: Tucson, 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
03D0967697West Horizon Medical Center395 N Silverbell Rd Ste 245, Tucson, AZ 85745Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

Locations

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

1701 W Saint Marys Rd
#100
Tucson, AZ 85745
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

Practitioners & affiliated clinicians

Practitioners 10

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1497805360",
    "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": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "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 Ste 245",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452704",
            "country_code": "US",
            "telephone_number": "520-622-7675 x13523",
            "fax_number": "877-870-9161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST HORIZON MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "BANDLAMURI",
        "authorized_official_first_name": "SUREKHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-622-7675",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "31764",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "11203",
            "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 Mar 9, 2026; 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.