Organization Active NPI

Rebecca a Natrajan M D P C

  • Gastroenterology Physician
  • Tucson, AZ
National Provider Identifier
1649330689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
21355 Issued in AZ
Legal business name
REBECCA A NATRAJAN M D P C
Practice address
4351 E Pinnacle Ridge PL
Tucson, AZ 85718-3540
Phone
(520) 529-8749
Fax
(520) 615-0568
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rebecca A Natrajan, M DNPI 1417945833
Title
Direct Owner
Phone
(520) 529-8749

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 21355 AZ Primary

Addresses

Primary practice location

4351 E Pinnacle Ridge PL
Tucson, AZ 85718-3540

Mailing address

4351 E Pinnacle Ridge PL
Tucson, AZ 85718-3540
Phone (520) 529-8749

Other identifiers 1

IdentifierTypeStateIssuer
309759MedicaidAZ

National Provider Directory

National Provider Directory

Locations

6365 E Tanque Verde Rd
Ste 230
Tucson, AZ 85715
Phone (520) 886-1055

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649330689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E PINNACLE RIDGE PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183540",
            "telephone_number": "520-529-8749",
            "fax_number": "520-615-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E PINNACLE RIDGE PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183540",
            "telephone_number": "520-529-8749",
            "fax_number": "520-615-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA A NATRAJAN M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NATRAJAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "520-529-8749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "21355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309759",
            "state": "AZ"
        }
    ],
    "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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.