Individual provider Active NPI

Roianne Marie Bandimere, PA-C

  • Surgical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1801511647
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
9364 Issued in AZ
Practice address
6567 E Carondelet Dr Ste 415
Tucson, AZ 85710-6157
Phone
(520) 887-7700
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X 9364 AZ Primary

Addresses

Primary practice location

6567 E Carondelet Dr Ste 415
Tucson, AZ 85710-6157

Mailing address

6567 E Carondelet Dr Ste 415
Tucson, AZ 85710-6157
Phone (520) 887-7700

Other names 1

  • Ms. Roianne Marie Tan Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221000911 AZ Practitioner - Physician Assistant 4385014000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

395 N Silverbell Rd
Suite 355
Tucson, AZ 85745-2981
Phone (520) 622-5912

4892 N Stone Ave
Tucson, AZ 85704-5761

6567 E Carondelet Dr
Suite 415
Tucson, AZ 85710-6157
Phone (520) 887-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9364AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carondelet Medical Group, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: roianne.bandimere.1@600.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1801511647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 415",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106157",
            "telephone_number": "520-887-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 415",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106157",
            "telephone_number": "520-887-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDIMERE",
        "first_name": "ROIANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "9364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROIANNE",
            "last_name": "TAN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.