Individual provider Active NPI

Kasturi Tuli, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1811975196
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32151 Issued in AZ
Practice address
1669 W Ina Rd Ste 141
Tucson, AZ 85704-1981
Phone
(520) 795-6183
Fax
(520) 795-6361
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32151 AZ Primary

Addresses

Primary practice location

1669 W Ina Rd Ste 141
Tucson, AZ 85704-1981

Mailing address

1669 W Ina Rd Ste 101
Tucson, AZ 85704-1976
Phone (520) 573-0966

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
I20050621000873 AZ Practitioner - Internal Medicine 2961447917 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare, LLC Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Greater Phoenix Collaborative Care PC PastSince Apr 28, 2005 Accepting new patients

Locations

5830 E Pima St
Tucson, AZ 85712
Phone (520) 722-5515

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1811975196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 W INA RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041976",
            "telephone_number": "520-573-0966",
            "fax_number": "520-784-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 W INA RD STE 141",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041981",
            "telephone_number": "520-795-6183",
            "fax_number": "520-795-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULI",
        "first_name": "KASTURI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "32151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.