Active NPI
Tonya M Barrutia, MD
- Family Medicine Physician
- Glendale, AZ
National Provider Identifier
1841308053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24397
- Practice address
- 5750 W Thunderbird Rd
G780
Glendale, AZ 85306-4682 - Phone
- (602) 439-0800
- Fax
- (602) 439-0813
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24397 | AZ | Primary |
Addresses
Primary practice location
5750 W Thunderbird Rd
G780
Glendale, AZ 85306-4682
Mailing address
8620 N 22ND Ave
200
Phoenix, AZ 85021-4201
Phone (602) 674-6506
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174766263463 | Other | AZ | HUMANA PROVIDER ID |
| 5850641 | Other | AZ | AETNA PROVIDER ID |
| 432211 | Medicaid | AZ | |
| AZ0767580 | Other | AZ | BCBS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24397 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrutia Family Medicine, PLC | Family Medicine | Past | Accepting new patients |
| VHS Outpatient Clinics, Inc. | Family Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1861688707
-
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1841308053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8620 N 22ND AVE",
"address_2": "200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850214201",
"telephone_number": "602-674-6506",
"fax_number": "602-674-6512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 W THUNDERBIRD RD",
"address_2": "G780",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064682",
"telephone_number": "602-439-0800",
"fax_number": "602-439-0813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRUTIA",
"first_name": "TONYA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "24397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PROVIDER ID",
"identifier": "174766263463",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "5850641",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432211",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "AZ0767580",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.