Deepa Gurusamy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

57780 Issued in TN

Practice address

1724 Hamill Rd Ste 214
Hixson, TN 37343-5152

Phone

(423) 778-9030

Fax

(423) 778-9031

NPI assigned

Sep 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Tucson, AZ, CCN 037248
• Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064
• Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

Merit-based Incentive Payment System (MIPS)

Final score

93.34 of 100Reported as apm

Quality

74.56

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Banner-University Medical Group

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1508809427

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Banner-University Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1922820935
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner - University Medical Center Tucson Campus LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1265820179
  Care Compare affiliation
• Banner - University Medical Center Tucson Campus LLC

  • Nutrition Education Nutritionist
  • Tucson, AZ
  • NPI 1861102881

  Hospital

  Care Compare affiliation
• Northwest Hospital LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1487607784
  Care Compare affiliation
• Tucson Home Health, LLC

  • Home Health Agency
  • Tucson, AZ
  • NPI 1992745210
  Care Compare affiliation

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

{
    "created_epoch": "1442102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1629446208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 HAMILL RD STE 214",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435152",
            "telephone_number": "423-778-9030",
            "fax_number": "423-778-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 HAMILL RD STE 214",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435152",
            "telephone_number": "423-778-9030",
            "fax_number": "423-778-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURUSAMY",
        "first_name": "DEEPA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-13",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "57780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE BOARD OF MEDICAL EXAMINERS",
            "identifier": "57780",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Michelle Grimes, PHARMD
• Emily A Grisham, SLP-CCC
• Haley Gros, OTR/L
• William Todd Gross, PT, REHS
• Krissa M Guess, APRN, FNP-C
• Gustavo Moretta Dentistry, PLLC
• Heather Nicole Haberhern, OT
• Asghar Haider, MD
• Enoch Matison Hammon Jr., D. D. S.
• Elizabeth Ruth Ann Hampton, ADULT NURSE PRACTITI

• Family Medicine Physician in Hixson, TN
• Providers in Hixson, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.