NPIMap

Individual provider Active NPI

Amanda Sue Shorette, MD

  • Emergency Medicine Physician
  • Benson, AZ
National Provider Identifier
1831532720
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
55522 Issued in AZ
Practice address
450 S Ocotillo St
Benson, AZ 85602-6490
Phone
(520) 586-2261
NPI assigned
Apr 10, 2013
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 266224 MA
Emergency Medicine Physician 207P00000X 55522 AZ Primary
Emergency Medicine Physician 207P00000X 056148 CT

Addresses

Primary practice location

450 S Ocotillo St
Benson, AZ 85602-6490

Mailing address

11900 N la Canada Dr
Tucson, AZ 85737-4001
Phone (520) 904-1936

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
I20180510001432 AZ Practitioner - Emergency Medicine 4688801244 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of New York at Buffalo School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians
Sound Physicians Emergency Medicine of Arizona IncGroup PAC ID 5799066650, 41 clinicians

Practice addresses (Care Compare)

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

5755 S Houghton Rd
Tucson, AZ 85747-0236
Phone (520) 324-5819

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.64 of 100Reported as group
Quality
27.81
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056148CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benson Hospital Corporation CurrentSince Dec 21, 2021 Accepting new patients
Ies Obs Arizona PLLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Benson Hospital Corporation CurrentSince Dec 21, 2021 Accepting new patients
Banner-University Medical Group Emergency Medicine CurrentSince Dec 29, 2025 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Mar 21, 2025 Accepting new patients
Ies Arizona PLLC Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Banner-University Medical Group CurrentSince Dec 29, 2025 Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

Interoperability endpoints

  • Direct secure messaging: amanda.shorette.1@18129.direct.athenahealth.com

Organizations & group practices 7

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 6

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1831532720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 N LA CANADA DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857374001",
            "telephone_number": "520-904-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S OCOTILLO ST",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026490",
            "telephone_number": "520-586-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORETTE",
        "first_name": "AMANDA",
        "middle_name": "SUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "266224",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "55522",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "056148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, AZ

Sources for this page

Verify at the official NPI Registry.