Individual provider Active NPI

Amanda Victoria Bisla, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1598028011
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50516 Issued in AZ
Practice address
7383 E Tanque Verde Rd
Tucson, AZ 85715-3475
Phone
(520) 318-3434
Fax
(520) 318-3435
NPI assigned
Jun 19, 2012
Last updated
Jun 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R73220 AZ
Internal Medicine Physician 207R00000X 50516 AZ Primary

Addresses

Primary practice location

7383 E Tanque Verde Rd
Tucson, AZ 85715-3475

Mailing address

PO Box 43130
Tucson, AZ 85733-3130
Phone (520) 318-3434

Other names 1

  • Amanda Victoria Valles Former name

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
I20150731017280 AZ Practitioner - Internal Medicine 3779897905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arizona College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aia Hospitalists LLCGroup PAC ID 3375583636, 51 clinicians

Practice addresses (Care Compare)

4530 E Muirwood Dr
Suite 105
Phoenix, AZ 85048-7693
Phone (480) 961-2303

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50516AZMDInternal Medicine Physician
R73220AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Inpatient Medicine Associates LLC Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
American Physicians, Inc. Hospitalist CurrentSince Oct 15, 2022 Accepting new patients
Aia Hospitalists LLC Internal Medicine CurrentSince May 15, 2020 Accepting new patients
American Physicians, Inc Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients

Locations

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

7383 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 318-3434

Organizations & group practices 5

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1598028011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333130",
            "telephone_number": "520-318-3434",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7383 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153475",
            "telephone_number": "520-318-3434",
            "fax_number": "520-318-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISLA",
        "first_name": "AMANDA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R73220",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "50516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "VALLES",
            "middle_name": "VICTORIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.