NPIMap

Organization Active NPI

Desert Sunrise Anesthesia PLLC

  • Anesthesiology Physician
  • Tucson, AZ
National Provider Identifier
1619562006
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DESERT SUNRISE ANESTHESIA PLLC
Practice address
2121 N Craycroft Rd BLDG 8
Tucson, AZ 85712-2845
Phone
(520) 230-7156
NPI assigned
Mar 8, 2021
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Neesann MariettaNPI 1972834364
Title
Manager
Phone
(520) 230-7156

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
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

2121 N Craycroft Rd BLDG 8
Tucson, AZ 85712-2845

Mailing address

1517 N Wilmot Rd # 162
Tucson, AZ 85712-4410
Phone (520) 230-7156

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210413000549 AZ Part B Supplier - Clinic/Group Practice 3870901820 Receives reassigned benefits from 16 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1619562006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 N WILMOT RD # 162",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124410",
            "telephone_number": "520-230-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N CRAYCROFT RD BLDG 8",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122845",
            "telephone_number": "520-230-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SUNRISE ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "MARIETTA",
        "authorized_official_first_name": "NEESANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-230-7156"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "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 Dec 12, 2025; 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.