Individual provider Active NPI

Tonya M Barrutia, MD

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1841308053
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24397 Issued in AZ
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

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
174766263463OtherAZHUMANA PROVIDER ID
5850641OtherAZAETNA PROVIDER ID
432211MedicaidAZ
AZ0767580OtherAZBCBS 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

LicenseStateTypeSpecialty
24397AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barrutia Family Medicine, PLC Family Medicine PastSince Dec 1, 2004 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine PastSince Aug 23, 2020 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.

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.

Verify at the official NPI Registry.