Individual provider Active NPI

Lucy Burciaga, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1497835649
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35181 Issued in AZ
Practice address
6296 E Grant Rd Ste 140
Tucson, AZ 85712-5876
Phone
(202) 440-6005
Fax
(520) 867-6721
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 35181 AZ Primary

Addresses

Primary practice location

6296 E Grant Rd Ste 140
Tucson, AZ 85712-5876

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950

Other identifiers 1

IdentifierTypeStateIssuer
182678MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036836CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bacchus PC Internal Medicine PastSince Jan 18, 2021 Accepting new patients
Iora Health Massachusetts, P.C. Internal Medicine Past Accepting new patients
University Medicine Foundation, Inc. PastSince Jan 1, 1990 Accepting new patients
Iora Health, LLC Internal Medicine Past Accepting new patients
Community Dialysis Center LLC PastSince Jan 1, 2007 Accepting new patients
Cochise County Dialysis and Kidney Care PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17108/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1497835649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950",
            "fax_number": "702-786-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6296 E GRANT RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125876",
            "telephone_number": "202-440-6005",
            "fax_number": "520-867-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCIAGA",
        "first_name": "LUCY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182678",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.