NPIMap

Individual provider Active NPI

Purba Biswas, MD

  • Nephrology Physician
  • Sierra Vista, AZ
National Provider Identifier
1740274190
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34448 Issued in AZ
Practice address
1840 Paseo San Luis
Sierra Vista, AZ 85635-4612
Phone
(520) 459-5959
Fax
(520) 459-0021
NPI assigned
Aug 31, 2005
Last updated
Nov 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 34448 AZ Primary

Addresses

Primary practice location

1840 Paseo San Luis
Sierra Vista, AZ 85635-4612

Mailing address

1840 Paseo San Luis
Sierra Vista, AZ 85635-4612
Phone (520) 459-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050929000430 AZ Practitioner - Internal MedicinePractitioner - Nephrology 3779573068 Reassigns benefits to 1 organization
I20220420002618 TX Practitioner - Nephrology 3779573068

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1840 Paseo San Luis
Sierra Vista, AZ 85635-4612
Phone (520) 459-5959

629 N Hwy 90
Sierra Vista, AZ 85635-2257
Phone (520) 459-7791

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
29.28 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
70.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34448AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Biswas Internal Medicine and Nephrology PLLC Nephrology CurrentSince Jan 11, 2022 Accepting new patients
Brown Medicine Internal Medicine Past Accepting new patients

Locations

1840 Paseo San Luis
Sierra Vista, AZ 85635
Phone (520) 459-5959

4645 Avon Ln
Ste 270
Frisco, TX 75033
Phone (469) 777-8156

Interoperability endpoints

  • Direct secure messaging: purba.biswas.1@17108.direct.athenahealth.com

Organizations & group practices 3

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 8

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1740274190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 PASEO SAN LUIS",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354612",
            "telephone_number": "520-459-5959",
            "fax_number": "520-459-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 PASEO SAN LUIS",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354612",
            "telephone_number": "520-459-5959",
            "fax_number": "520-459-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISWAS",
        "first_name": "PURBA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "34448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.