Organization Active NPI

Associated Internists of Tucson, PLLC

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1558318345
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ASSOCIATED INTERNISTS OF TUCSON, PLLC
Practice address
6501 E Santa Aurelia
Tucson, AZ 85715-3127
Phone
(520) 296-1206
Fax
(520) 296-7410
NPI assigned
May 27, 2006
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Nicholas R Bastiampillai, DONPI 1093750242
Title
Member
Phone
(520) 429-5316

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: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6501 E Santa Aurelia
Tucson, AZ 85715-3127

Mailing address

PO Box 16397
Tucson, AZ 85732-6397
Phone (520) 296-1206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220001031 AZ Part B Supplier - Clinic/Group Practice 1759349988 Receives reassigned benefits from 19 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

1919 W Medical St
Tucson, AZ 85704
Phone (520) 297-7311

2550 S Craycroft Rd
Tucson, AZ 85711

6646 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 751-3700

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1558318345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16397",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857326397",
            "telephone_number": "520-296-1206",
            "fax_number": "520-296-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 E SANTA AURELIA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153127",
            "telephone_number": "520-296-1206",
            "fax_number": "520-296-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED INTERNISTS OF TUCSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "BASTIAMPILLAI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-429-5316",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.