NPIMap

Individual provider Active NPI

Tamara Djurisic, MD

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1740213503
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45153 Issued in AZ
Practice address
9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258-4581
Phone
(480) 455-3000
Fax
(866) 819-6115
NPI assigned
Jul 7, 2006
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-108660 IL
Family Medicine Physician 207Q00000X 45153 AZ Primary

Addresses

Primary practice location

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258-4581

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (480) 455-3000

Other identifiers 2

IdentifierTypeStateIssuer
036108660MedicaidIL
631482MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000331 AZ Practitioner - Family Practice 3072598234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

20745 N Scottsdale Rd
Suite 100
Scottsdale, AZ 85255-6453
Phone (480) 882-7500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45153AZMDFamily Medicine Physician
036-108660ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Oct 3, 2011 Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Oct 3, 2011 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Dec 12, 2022 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Dec 12, 2022 Accepting new patients
Cigna Health Care of Arizona Inc Current Accepting new patients
4C Medical Group PLC Family Medicine Current Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
4C Medical Group PLC CurrentSince Jan 1, 2015 Accepting new patients
Advocate Health Centers, Inc. Past Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Past Accepting new patients
Advocate North Side Health Network Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

20745 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 587-5460

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

Interoperability endpoints

  • Direct secure messaging: tdjurisic105370@direct.honorhealth.com

Organizations & group practices 12

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 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1740213503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "480-455-3000",
            "fax_number": "866-819-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9590 E IRONWOOD SQUARE DR",
            "address_2": "STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584581",
            "telephone_number": "480-455-3000",
            "fax_number": "866-819-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJURISIC",
        "first_name": "TAMARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-108660",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "45153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108660",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631482",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.