Individual provider Active NPI

Steven J Bupp, M.D.

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1780659029
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19350 Issued in KS
Practice address
5160 E Glenn St # 100
Tucson, AZ 85712-1337
Phone
(520) 747-8494
Fax
(520) 748-2609
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 19350 KS Primary

Addresses

Primary practice location

5160 E Glenn St # 100
Tucson, AZ 85712-1337

Mailing address

5160 E Glenn St # 100
Tucson, AZ 85712-1337
Phone (520) 747-8494

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050601000942 AZ Practitioner - Psychiatry 1658313531 Reassigns benefits to 2 organizations
Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kansas School of Med (KC/Wich/Sal), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Codac Health Recovery and WellnessGroup PAC ID 6103813811, 27 clinicians

Practice addresses (Care Compare)

1075 E Fort Lowell Rd
Tucson, AZ 85719-2159
Phone (520) 202-1960

4585 E Speedway Blvd
Tucson, AZ 85712-5309
Phone (520) 327-4505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19350KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Codac Health Recovery and Wellness CurrentSince Sep 18, 2015 Accepting new patients
Sonora Behavioral Health Hospital, LLC CurrentSince Jun 1, 2014 Accepting new patients
Codac Health, Recovery & Wellness, Inc. CurrentSince Sep 18, 2015 Accepting new patients
Sonora Behavioral Health Hospital, LLC CurrentSince Jun 1, 2014 Accepting new patients
Codac Health Recovery and Wellness Current Accepting new patients
Carondelet Health Network Past Accepting new patients
Leaf and Stone PLLC PastSince Jan 1, 2025 Accepting new patients
Samantha Frembgen, D.O. PLLC Psychiatry PastSince Mar 1, 2020 Accepting new patients
Codac Behavioral Health Services of Pima County, Inc. Past Accepting new patients
Carondelet Specialist Group, Inc Past Accepting new patients

Locations

3100 N 1st Ave
Tucson, AZ 85719
Phone (520) 202-1786

4585 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 319-3359

127 S 5th Ave
Tucson, AZ 85701
Phone (520) 202-1758

6050 N Corona Rd
Tucson, AZ 85704
Phone (520) 469-8700

1075 E Fort Lowell Rd
Tucson, AZ 85719
Phone (520) 202-1960

3130 E Broadway Blvd
Ste 196
Tucson, AZ 85716
Phone (520) 399-8688

4585 E Speedway Blvd
Bldg 1
Tucson, AZ 85712

630 N Alvernon Way
Ste 161
Tucson, AZ 85711
Phone (520) 318-9222

1650 E Fort Lowell Rd
Ste 202
Tucson, AZ 85719
Phone (520) 202-1759

6050 N Corona Rd
Bldg 3
Tucson, AZ 85704
Phone (520) 469-8700

4901 E 5th St
Tucson, AZ 85711
Phone (520) 318-9222

Interoperability endpoints

  • Direct secure messaging: steven.bupp@mmcodachrw.contexture.medalliesmail.com
  • Direct secure messaging: steven.bupp.p1@direct.codachrw.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1780659029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 E GLENN ST # 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121337",
            "telephone_number": "520-747-8494",
            "fax_number": "520-748-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 E GLENN ST # 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121337",
            "telephone_number": "520-747-8494",
            "fax_number": "520-748-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUPP",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "19350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.