David J Jendusa, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25847 Issued in AZ

Practice address

8050 E Lakeside Pkwy
Tucson, AZ 85730-1254

Phone

(520) 584-5820

Fax

(520) 514-1514

NPI assigned

Nov 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Psychiatry

Education

Medical College of Wisconsin, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pascua Yaqui TribeGroup PAC ID 7618033598, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pascua Yaqui Tribe

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1477868396

  TX

  Medicare reassignment Care Compare group NPD
• Pascua Yaqui Tribe

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
  • NPI 1588879159
  NPD
• Pascua Yaqui Tribe

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
  • NPI 1598959298
  NPD
• Lafrontera Center Inc

  • Methadone Clinic
  • Tucson, AZ
  • NPI 1548361470
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730257874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 E LAKESIDE PKWY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301254",
            "telephone_number": "520-584-5820",
            "fax_number": "520-514-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E LAKESIDE PKWY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301254",
            "telephone_number": "520-584-5820",
            "fax_number": "520-514-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENDUSA",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "25847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jelodon Corp (Nursing Solutions of Southern Arizona)
• Jelodon HC, LLC (Angels of Care)
• Sami Jelousi, MD
• Thomas Fishburne Jemison, N.M.D
• Priscilla Roxana Jemming, RN
• Emron Talbot Jenkins, D.C.
• Julie Ann Jenkins, RN, BSN, CCRN
• Latoshia Renee Jenkins, LPN
• Linda Sue Jenkins
• Lydia Jenkins, D.O.

• Psychiatry Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.